Individual provider Active NPI

Shmuel Wilschanski, PA

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1114836517
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
036574 Issued in NY
Practice address
5520 13TH Ave
Brooklyn, NY 11219-4587
Phone
(718) 499-1000
NPI assigned
Sep 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 036574 NY Primary

Addresses

Primary practice location

5520 13TH Ave
Brooklyn, NY 11219-4587

Mailing address

888 Montgomery St Apt D14
Brooklyn, NY 11213-5684
Phone (347) 634-7343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1114836517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 MONTGOMERY ST APT D14",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135684",
            "telephone_number": "347-634-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194587",
            "telephone_number": "718-499-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSCHANSKI",
        "first_name": "SHMUEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "036574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.