Active NPI
San San Wynn, M.D., P.C.
- Hematology & Oncology Physician
- Brooklyn, NY
National Provider Identifier
1699945642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 220806
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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 DirectoryLocations
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.
-
- Hematology & Oncology Physician
- Roslyn, NY
- NPI 1083687289
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.