Active NPI
Goshen Pediatrics, PC
- Pediatrics Physician
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 189547
- Legal business name
- GOSHEN PEDIATRICS, PC
- Practice address
- 2002 Route 17M
Suite 8
Goshen, NY 10924 - Phone
- (845) 291-7059
- Fax
- (845) 291-0905
- NPI assigned
- Jul 14, 2015
- Organization subpart
- Yes
- Parent organization
- GOSHEN PEDIATRICS, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James N Wapshare, MD
- Title
- Owner
- Phone
- (845) 291-7059
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 189547 | NY | Primary |
Addresses
Primary practice location
2002 Route 17M
Suite 8
Goshen, NY 10924
Mailing address
2002 Route 17M
Suite 8
Goshen, NY 10924
Phone (845) 291-7059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01364167 | Medicaid | NY | |
| 01L261 | Other | NY | BC |
Other names 1
- Chester Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0949500 | Goshen Pediatrics PC | Certificate of waiver | Aug 3, 2026 |
National Provider Directory
National Provider Directory- Part of
- Goshen Pediatrics PC
Locations
2002 Route 17M
Ste 8
Goshen, NY 10924
Phone (845) 291-7059
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHGIBD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Goshen, NY
- NPI 1467545376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700179200000",
"number": "1073997623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 ROUTE 17M",
"address_2": "SUITE 8",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-291-7059",
"fax_number": "845-291-0905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 ROUTE 17M",
"address_2": "SUITE 8",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-291-7059",
"fax_number": "845-291-0905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOSHEN PEDIATRICS, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GOSHEN PEDIATRICS, PC",
"enumeration_date": "2015-07-14",
"last_updated": "2023-11-17",
"status": "A",
"authorized_official_last_name": "WAPSHARE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-291-7059",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "189547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01364167",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "01L261",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chester Pediatrics",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.