Organization Active NPI

San San Wynn, M.D., P.C.

  • Hematology & Oncology Physician
  • Brooklyn, NY
National Provider Identifier
1699945642
Registry record updated Jul 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
220806 Issued in NY
Legal business name
SAN SAN WYNN, M.D., P.C.
Practice address
723 E 87TH St
Brooklyn, NY 11236-3620
Phone
(718) 498-5754
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2008

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

Authorized official

Name
Dr. San San Wynn, M.D.NPI 1083687289
Title
President
Phone
(718) 498-5754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 220806 NY Primary

Addresses

Primary practice location

723 E 87TH St
Brooklyn, NY 11236-3620

Mailing address

56 Hamilton Dr
Roslyn, NY 11576-3129

National Provider Directory

National Provider Directory

Locations

723 E 87th St
Brooklyn, NY 11236
Phone (516) 536-2211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215820800000",
    "number": "1699945642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HAMILTON DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E 87TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363620",
            "telephone_number": "718-498-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN SAN WYNN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-07-12",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "SAN SAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-498-5754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "220806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2008; 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.