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DR. WAYNE GRANT SUN MD
NPI 1659877801
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 04, 2018PECOS Enrolled
525 E 68TH ST # 124, NEW YORK, NY 10065(212) 746-2941(212) 746-8563 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Wayne Grant Sun Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WAYNE GRANT SUN MD (NPI 1659877801) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659877801
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. WAYNE GRANT SUNCredential: MD
Location Address525 E 68TH ST # 124New York, NY 10065-4870
Mailing Address525 E 68th St # 124New York, NY 10065-4870 · Fax (212) 746-8563
Phone(212) 746-2941
Fax(212) 746-8563
Sole ProprietorYes
Enumeration DateApril 4, 2018
Last NPPES UpdateSeptember 26, 2023
✔ NPI 1659877801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
525 E 68TH ST # 124, New York, NY 10065
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wayne Grant Sun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Wayne Sun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,430 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER CYRIL IVANOV MD
Student in an Organized Health Care Education/Training Program
525 E 68TH ST # 124
NEW YORK, NY 10065
New York County (212) 746-2941
DR. ALEXANDRA BARR BERMAN MD
Student in an Organized Health Care Education/Training Program
525 E 68TH ST # 124
NEW YORK, NY 10065
New York County (212) 746-2941
BENJAMIN COTE MD
Student in an Organized Health Care Education/Training Program
525 E 68TH ST # 124
NEW YORK, NY 10065
New York County (212) 746-2941
JAIME ALISON AARONSON
Anesthesiology
525 E 68TH ST # 124
NEW YORK, NY 10065
New York County (212) 746-2941
SENA THEODORA CHUN MD
Student in an Organized Health Care Education/Training Program
525 E 68TH ST # 124
NEW YORK, NY 10065
New York County (212) 746-2941
MS. ZAHRA MEHDI MALIK M.D.
Anesthesiology
525 E 68TH ST # 124, DEPARTMENT OF ANESTHESIOLOGY
NEW YORK, NY 10065
New York County (646) 962-4328
RYAN SCOTT FERENCE MD
Anesthesiology
525 E 68TH ST # 124
NEW YORK, NY 10065
New York County (212) 746-2941
CORINA PHAN AGPCNP-BC
Nurse Practitioner (Adult Health)
525 E 68TH ST # 124
NEW YORK, NY 10065
New York County (212) 746-5454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Sun's NPI number?

The NPI number for Wayne Sun is 1659877801. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Wayne Sun located?

Wayne Sun practices at 525 E 68th St # 124, New York, NY 10065. The listed phone number is (212) 746-2941.

What is Wayne Sun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wayne Sun enrolled in Medicare?

Yes. Wayne Sun is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wayne Sun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Sun reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wayne Sun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wayne Sun was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.