Individual provider Active NPI

Jeffrey H. Wisoff, M.D.

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1063407047
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
140417 Issued in NY
Practice address
317 E 34TH St
10TH FL.
New York, NY 10016-4974
Phone
(212) 263-6419
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 140417 NY Primary

Addresses

Primary practice location

317 E 34TH St
10TH FL.
New York, NY 10016-4974

Mailing address

317 E 34TH St
10TH FL.
New York, NY 10016-4974
Phone (212) 263-6419

Other identifiers 1

IdentifierTypeStateIssuer
01041198MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwisoff22243@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110517000626 NY Practitioner - Neurosurgery 2961688411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
140417NYMDNeurological Surgery Physician
014041NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 1, 2011 Accepting new patients
New York University Neurological Surgery CurrentSince May 1, 2011 Accepting new patients
Maimonides Medical Center Current Accepting new patients
New York University Past Accepting new patients
Neurosurgical Associates of New Jersey, P.C. Neurological Surgery Past Accepting new patients

Locations

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

317 E 34th St
New York, NY 10016
Phone (212) 263-9741

317 E 34th St
Fl 10
New York, NY 10016
Phone (212) 263-6419

317 E 34th St
Ste 1002
New York, NY 10016
Phone (212) 263-5709

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: jwisoff684469@nychhc.direct-ci.com
  • Direct secure messaging: jeffreywisoff@mai.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1063407047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E 34TH ST",
            "address_2": "10TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164974",
            "telephone_number": "212-263-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E 34TH ST",
            "address_2": "10TH FL.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164974",
            "telephone_number": "212-263-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISOFF",
        "first_name": "JEFFREY",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "140417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01041198",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwisoff22243@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "317 E 34th St",
            "address_2": "10th Fl.",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100164974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.