Edmund Ying-Peng Wun, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

053401 Issued in NY

Practice address

4 Palisades Dr Ste 250
Albany, NY 12205-1448

Phone

(518) 240-3750

Fax

(518) 240-3759

NPI assigned

Jun 20, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Saratoga County Oral & Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Saratoga Springs, NY
  • NPI 1639196637
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1376704452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PALISADES DR STE 250",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051448",
            "telephone_number": "518-240-3750",
            "fax_number": "518-240-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PALISADES DR STE 250",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051448",
            "telephone_number": "518-240-3750",
            "fax_number": "518-240-3759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Saratoga Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123024513",
            "country_code": "US",
            "telephone_number": "518-240-3750",
            "fax_number": "518-240-3759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Quaker Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128041714",
            "country_code": "US",
            "telephone_number": "518-240-3750",
            "fax_number": "518-240-3759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUN",
        "first_name": "EDMUND",
        "middle_name": "YING-PENG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "053401",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS037964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Wu, MD
• Lyman Wu, DO
• Nini Wu, M.D.
• Regina Wu, MSW, LMSW
• Edelgard Wulfert, PHD
• Derrick R. Wurl, M.D.
• Diane Marie Wyatt, LMSW
• Daniel James Wyman
• Anila Xhavo
• Shang Xu, O.D.

• Oral and Maxillofacial Surgery (Dentist) in Albany, NY
• Providers in Albany, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.