Robert Wickiewicz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

114150 Issued in NY

Practice address

1301 River St
Valatie, NY 12184-9694

Phone

(518) 748-7736

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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.

• Greene Medical Imaging PC

  • Diagnostic Radiology Physician
  • Catskill, NY
  • NPI 1629053566

  Diagnostic Radiology

  NPD (past)
• Susan C Sharp MD PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Niskayuna, NY
  • NPI 1235114083
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033100151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1123",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121100079",
            "telephone_number": "800-357-4829",
            "fax_number": "518-786-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVER ST",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849694",
            "telephone_number": "518-748-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKIEWICZ",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "114150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upstate Cardiology, PLLC
• Valatie Imaging PC
• Valatie Psychological Services, PLLC
• Valatie Volunteer Rescue Squad, Inc
• Sara Catherine Vessio
• Carl John Winkler, FNP
• Victoria Winters
• Christi Wright, LCSW
• Erica Jean Yap, PT, DPT
• Catherine C Yunker, CNM

• All providers in Valatie, NY
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.