Active NPI
Sean Patrick Wengerter, MD, RPVI
- Vascular Surgery Physician
- Pomona, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 276619-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Helen Hayes Hospital
- Englewood Hospital and Medical Center
- St Anthony Community Hospital
- Garnet Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.41 of 100
- Quality
- 41.6
- Improvement activities
- 40
- Cost
- 62.56
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.07 of 100
- Quality
- 45.39
- Improvement activities
- 40
- Cost
- 77.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.75 of 100
- Quality
- 38.05
- Improvement activities
- 40
- Cost
- 79.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 43 |
| Leg revascularization (restoring blood flow) | 47 |
| Removal of tissue | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 276619-1 | NY | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockland Thoracic & Vascular Associates, P.C. | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Hudson Valley Thoracic & Vascular Assoc. PLLC | Vascular Surgery | Current | Accepting new patients |
| Bergen Thoracic and Vascular Associates P.C. | Vascular Surgery | Current | 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Goshen, NY
- NPI 1326093972
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pomona, NY
- NPI 1740235068
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Englewood, NJ
- NPI 1154742872
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- General Acute Care Hospital
- Suffern, NY
- NPI 1346213469
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
-
- General Acute Care Hospital
- West Haverstraw, NY
- NPI 1063525442
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.