Eshagh Wiseman, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

137450 Issued in NY

Practice address

21 Cary Rd
Great Neck, NY 11021-1517

Phone

(516) 946-8333

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Es-Hagh Wiseman MD PC

  • Physical Medicine & Rehabilitation Physician
  • Great Neck, NY
  • NPI 1184814899
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1265537005",
    "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": {
        "last_name": "WISEMAN",
        "first_name": "ESHAGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "137450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01131286",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvey Winkler, MD
• Regina Winocur, M.A.,R.D.,C.D.E
• Winston B Paley MD PC
• Winthrop Community Medical Affiliates, PC
• Wise Bites Nutrition PLLC
• Maryam Wiseman, P.T.
• Jeffrey M. Wolf, M.D.
• Sonia Marie Wolf, OTR/L
• Elizabeth Wolfe-Medina, O.T.
• Nancy Sue Wolfin, M.D.

• 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.