Individual provider Active NPI

Claudia M Wilson, MD

  • Hematology & Oncology Physician
  • Brooklyn, NY
National Provider Identifier
1205888120
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
130158 Issued in NY
Practice address
629 Eastern Pkwy
Brooklyn, NY 11213-3339
Phone
(718) 783-1200
Fax
(718) 771-8450
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 130158 NY Primary

Addresses

Primary practice location

629 Eastern Pkwy
Brooklyn, NY 11213-3339

Mailing address

1321 Michael CT
Ste 3
Bayside, NY 11360-1171
Phone (718) 352-1493

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
I20041211000088 NY Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Internal Medicine 9436116464 Practice locations: Bronx, NY; Brooklyn, NY; Brookyn, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130158NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Health Operations LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cwilson1057073@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1205888120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MICHAEL CT",
            "address_2": "STE 3",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601171",
            "telephone_number": "718-352-1493",
            "fax_number": "718-771-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112133339",
            "telephone_number": "718-783-1200",
            "fax_number": "718-771-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CLAUDIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "130158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.