Individual provider Active NPI

Sean Patrick Wengerter, MD, RPVI

  • Vascular Surgery Physician
  • Pomona, NY
National Provider Identifier
1003259532
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
276619-1 Issued in NY
Practice address
5A Medical Park Dr
Pomona, NY 10970
Phone
(845) 362-0075
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA10255100 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 276619-1 NY Primary

Addresses

Primary practice location

5A Medical Park Dr
Pomona, NY 10970

Mailing address

5A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-0075

Other practice location 1

25 Rockwood Pl Ste 330
Englewood, NJ 07631-4958
Phone (201) 408-5195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180411000648 NJ Practitioner - Vascular Surgery 1254694953 Reassigns benefits to 1 organization
I20180509000194 NY Practitioner - Vascular Surgery 1254694953 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rutgers New Jersey Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bergen Thoracic and Vascular Associates PCGroup PAC ID 0042440174, 3 clinicians
Rockland Thoracic and Vascular Associates, P.C.Group PAC ID 8325936479, 10 clinicians
Hudson Valley Thoracic and Vascular Assoc. PLLCGroup PAC ID 8527956663, 7 clinicians

Practice addresses (Care Compare)

25 Rockwood PL
Suite 330
Englewood, NJ 07631-4958
Phone (201) 405-5195

350 Engle St
Berrie BLDG Suite 6586
Englewood, NJ 07631-1808
Phone (201) 408-5195

5 A Medical Park Dr
Pomona, NY 10970-3516
Phone (845) 362-1081

70 Hatfield LN
Suite 202
Goshen, NY 10924-6735
Phone (845) 291-3656

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

Merit-based Incentive Payment System (MIPS)

Final score
70.41 of 100Reported as group
Quality
41.6
Improvement activities
40
Cost
62.56

Merit-based Incentive Payment System (MIPS)

Final score
78.07 of 100Reported as group
Quality
45.39
Improvement activities
40
Cost
77.3

Merit-based Incentive Payment System (MIPS)

Final score
70.75 of 100Reported as group
Quality
38.05
Improvement activities
40
Cost
79.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal43
Leg revascularization (restoring blood flow)47
Removal of tissue13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
276619-1NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockland Thoracic & Vascular Associates, P.C. CurrentSince Mar 28, 2018 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Feb 4, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 4, 2025 Accepting new patients
Hudson Valley Thoracic & Vascular Assoc. PLLC Vascular Surgery CurrentSince Mar 28, 2018 Accepting new patients
Bergen Thoracic and Vascular Associates P.C. Vascular Surgery CurrentSince Mar 28, 2018 Accepting new patients

Locations

25 Rockwood Pl
Ste 330
Englewood, NJ 07631
Phone (201) 405-5195

350 Engle St
Ste 65
Englewood, NJ 07631
Phone (201) 408-5195

70 Hatfield Ln
Ste 202
Goshen, NY 10924
Phone (845) 291-3656

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

5A Medical Park Dr
Pomona, NY 10970
Phone (845) 362-0075

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1003259532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703516",
            "telephone_number": "845-362-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-362-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Rockwood Pl Ste 330",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "NJ",
            "postal_code": "076314958",
            "country_code": "US",
            "telephone_number": "201-408-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENGERTER",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD, RPVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA10255100",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "276619-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.