Individual provider Active NPI

William M. Wirchansky, MD

  • Neurological Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1104952241
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
254732-1 Issued in NY
Practice address
1 Brookdale PLZ Ste 400
Brooklyn, NY 11212-3139
Phone
(718) 240-5622
Fax
(718) 240-5808
NPI assigned
Feb 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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 254732-1 NY Primary

Addresses

Primary practice location

1 Brookdale PLZ Ste 400
Brooklyn, NY 11212-3139

Mailing address

1 Brookdale PLZ Ste 666
Brooklyn, NY 11212-3139
Phone (182) 407-1437

Other identifiers 1

IdentifierTypeStateIssuer
03155199MedicaidNY

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
I20100617000341 NY Practitioner - Neurosurgery 3577600196 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

Hospital & facility affiliations

  • Wyckoff Heights Medical Center Hospital, Brooklyn, NY, CCN 330221
  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254732-1NYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Aug 14, 2019 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Wyckoff Professional Medical Services, PC CurrentSince Sep 1, 2025 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Mar 9, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Aug 14, 2019 Accepting new patients
Manhattan Neurosurgical Associates Past Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients
NYU Lutheran Medical Center Past Accepting new patients
Manhattan Neurosurgical Assoc, PC Past Accepting new patients

Locations

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1 Brookdale Plz
Ste 400
Brooklyn, NY 11212
Phone (718) 240-5622

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

1 Brookdale Plz
Ste 666
Brooklyn, NY 11212

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

Networks

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

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1104952241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ STE 666",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "182-407-1437",
            "fax_number": "718-240-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ STE 400",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-5622",
            "fax_number": "718-240-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRCHANSKY",
        "first_name": "WILLIAM",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "254732-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03155199",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.