Organization Active NPI

Herbert M Wyman MD

  • Point of Service
  • New York, NY
National Provider Identifier
1992113237
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
92610 Issued in NY
Legal business name
HERBERT M WYMAN MD
Practice address
27 W 86TH St
Apt 1C
New York, NY 10024-3615
Phone
(212) 362-6792
NPI assigned
Jul 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Authorized official

Name
Dr. Herbert M Wyman, MDNPI 1699902817
Title
Sole Proprietor
Phone
(212) 362-6792

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
Point of Service 305S00000X 92610 NY Primary

Addresses

Primary practice location

27 W 86TH St
Apt 1C
New York, NY 10024-3615

Mailing address

27 W 86TH St
Apt 1C
New York, NY 10024-3615
Phone (212) 362-6792

Other identifiers 1

IdentifierTypeStateIssuer
90271OtherNYBLUE CROSS

National Provider Directory

National Provider Directory

Locations

27 W 86th St
Apt 1C
New York, NY 10024
Phone (212) 362-6792

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": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1992113237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W 86TH ST",
            "address_2": "APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243615",
            "telephone_number": "212-362-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W 86TH ST",
            "address_2": "APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243615",
            "telephone_number": "212-362-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT M WYMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "WYMAN",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "212-362-6792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "92610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "90271",
            "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 Jul 30, 2014; 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.