Individual provider Active NPI

Wynne Meredith Hydo, B.S., M.ED.

  • Specialist
  • New York, NY
National Provider Identifier
1427311893
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
292 Madison Ave
2ND Floor
New York, NY 10017-6307
Phone
(212) 418-0320
NPI assigned
Jun 20, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

292 Madison Ave
2ND Floor
New York, NY 10017-6307

Mailing address

425 W Broadway
2A
New York, NY 10012-3751
Phone (609) 216-2839

Other identifiers 1

IdentifierTypeStateIssuer
174400000XOtherNYOTHER SERVICE PROVIDERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1427311893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BROADWAY",
            "address_2": "2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123751",
            "telephone_number": "609-216-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MADISON AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176307",
            "telephone_number": "212-418-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDO",
        "first_name": "WYNNE",
        "middle_name": "MEREDITH",
        "credential": "B.S., M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER SERVICE PROVIDERS",
            "identifier": "174400000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.