Active NPI
Martin Gary Wertkin, MD
- Surgery Physician
- Yonkers, NY
National Provider Identifier
1144237421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 116387
- Practice address
- 1034 N Broadway
Yonkers, NY 10701-1303 - Phone
- (914) 965-2026
- Fax
- (914) 965-1499
- NPI assigned
- Aug 1, 2006
- Last updated
- Dec 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 116387 | NY | Primary |
Addresses
Primary practice location
1034 N Broadway
Yonkers, NY 10701-1303
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187TM1 | Other | NY | EMPIRE BCBS |
| 120727000113 | Other | NY | FIDELIS CARE |
| P01084439 | Other | NY | RAILROAD MEDICARE |
| 2671201 | Other | NY | GHI PPO |
| P4570623 | Other | NY | OXFORD PLAN THRU UNITED HEALTHCARE |
| 000000014863 | Other | NY | HIP |
| PPO ID# 0085762 | Other | NY | HIP |
| 116387 | Other | NY | 1199 NATIONAL BENEFIT FUND |
| 00369599 | Medicaid | NY | |
| 701744 | Other | NY | US FAMILY HEALTH PLAN |
| 001814 | Other | NY | CONNECTICARE THRU MFHA, IPA |
| DOC067154 | Other | NY | VNS CHOICE |
| PRIS# 2920539 | Other | NY | HIP |
| 201235200020 | Other | NY | AFFINITY HEALTH PLAN |
| 0465157 | Other | NY | CIGNA |
| 000000014863 | Other | NY | GHI HMO |
| 116387-A85 | Other | NY | HEALTH FIRST |
| 4096851 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116387 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yonkers Radiation Medical Practice, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba 21st Century Oncology
- Radiation Oncology Physician
- Yonkers, NY
- NPI 1750361374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1144237421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011303",
"telephone_number": "914-965-2026",
"fax_number": "914-965-1499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTKIN",
"first_name": "MARTIN",
"middle_name": "GARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "116387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "187TM1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE",
"identifier": "120727000113",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01084439",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "2671201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PLAN THRU UNITED HEALTHCARE",
"identifier": "P4570623",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "000000014863",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "PPO ID# 0085762",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 NATIONAL BENEFIT FUND",
"identifier": "116387",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00369599",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US FAMILY HEALTH PLAN",
"identifier": "701744",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE THRU MFHA, IPA",
"identifier": "001814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VNS CHOICE",
"identifier": "DOC067154",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "PRIS# 2920539",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFINITY HEALTH PLAN",
"identifier": "201235200020",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0465157",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000014863",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST",
"identifier": "116387-A85",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4096851",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.