Individual provider Active NPI

Benjamin Aaron Wyler, MD

  • Emergency Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1174829261
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2899191 Issued in NY
Practice address
100 Nicolls Rd RM 80
Stony Brook, NY 11794-1029
Phone
(631) 444-2478
NPI assigned
Feb 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 289919 NY
Emergency Medicine Physician 207P00000X A115590 CA
Emergency Medicine Physician 207P00000X 2899191 NY Primary

Addresses

Primary practice location

100 Nicolls Rd RM 80
Stony Brook, NY 11794-1029

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-2478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120830000447 CA Practitioner - Emergency Medicine 8729235544 Reassigns benefits to 6 organizations
I20180123003306 NY Practitioner - Emergency Medicine 8729235544 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Harvard Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 987-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115590CAMDEmergency Medicine Physician
289919NYMDEmergency Medicine Physician
2899191NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based Current Accepting new patients
Huntington Park Emergency Physicians, Inc Emergency Medicine CurrentSince Apr 30, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2023 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Aug 20, 2012 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Sep 15, 2014 Accepting new patients
West Hills Emergency Medical Associates, Inc Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince Feb 10, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Nov 25, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Jan 22, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Fpa Hospital Based CurrentSince Jul 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Aug 20, 2012 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1174829261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900989",
            "telephone_number": "631-444-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NICOLLS RD RM 80",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117941029",
            "telephone_number": "631-444-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLER",
        "first_name": "BENJAMIN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-07",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "289919",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A115590",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "2899191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.