Joseph Wahba, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

187531 Issued in NY

Practice address

3680 Bedford Ave
Brooklyn, NY 11229-1704

Phone

(718) 338-5542

Fax

(718) 677-9859

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• Direct secure messaging: josephwahba@mai.allscriptsdirect.net
• Direct secure messaging: jwahba216031@nyumc.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IFBJCD/Endpoint/IFBJCD

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.

• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Sephardic Medical PC

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1982289609
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1023018231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291704",
            "telephone_number": "718-338-5542",
            "fax_number": "718-677-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291704",
            "telephone_number": "718-338-5542",
            "fax_number": "718-677-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHBA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "187531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yi-Kwen Nicolle Wah, OD
• Qadri Wahab
• Danielle Wahba
• David Wahba, MS ED
• Jeanette Wahba
• Rena Wahba
• Abdelazim Wahdan
• Wahed Pharma LLC
• Hafiza Wajeeha Waheed, MBBS
• Kiran Waheed, PHARM.D.

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.