Es-Hagh Wiseman MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

137450 Issued in NY

Legal business name

ES-HAGH WISEMAN MD PC

Practice address

21 Cary Rd
Great Neck, NY 11021-1517

Phone

(516) 946-8333

NPI assigned

Jul 29, 2007

Last updated

Aug 27, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

ES-HAGH WISEMAN MD PCAs reported in NPPES

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

Authorized official

Name

Dr. Es-Hagh Wiseman, MD PCNPI 1265537005

Title

Doctor

Phone

(718) 268-7246

Specialties & licenses 2

Addresses

Part of

Es-Hagh Wiseman MD PC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eshagh Wiseman, MD

  • Physical Medicine & Rehabilitation Physician
  • Great Neck, NY
  • NPI 1265537005
  NPD (past) Authorized official

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

{
    "created_epoch": "1185667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1184814899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CARY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211517",
            "telephone_number": "516-946-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CARY RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211517",
            "telephone_number": "516-946-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ES-HAGH WISEMAN MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ES-HAGH WISEMAN MD PC",
        "enumeration_date": "2007-07-29",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "ES-HAGH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-268-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "137450",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0158541",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Harris Epstein, DDS
• Christopher Erickson
• Steven Martin Erlanger, M.D.
• Sara Erlich
• Sivan Erstein, PSY.D.
• Juliet Shirin Eshaghoff, M.S., CF-SLP, TSSLD
• Shirel Eshaghzadeh
• Nazila Esmaeili, LCSW
• Michaela Espadas, PA-C
• Juan Miguel Esquieres Espares, PT

• Physical Medicine & Rehabilitation Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.