Individual provider Active NPI

Joseph Wiesel, M.D.

  • Cardiovascular Disease Physician
  • Flushing, NY
National Provider Identifier
1306845987
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
150744 Issued in NY
Practice address
142-42 Booth Memorial Avenue
Flushing, NY 11355-5342
Phone
(718) 353-4004
Fax
(718) 353-4240
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 150744 NY Primary

Addresses

Primary practice location

142-42 Booth Memorial Avenue
Flushing, NY 11355-5342

Mailing address

4401 Francis Lewis Blvd
Suite L3A
Bayside, NY 11361-3028
Phone (718) 717-0238

Other identifiers 1

IdentifierTypeStateIssuer
01076728MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwiesel82990@nyumc.direct-ci.com Direct

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
I20041118001285 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 5991769820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Nuclear Medicine
Education
New York University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

9785 Queens Blvd
Rego Park, NY 11374-3319
Phone (718) 261-9100

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Aug 1, 2013 Accepting new patients
New York University Cardiovascular Disease CurrentSince Aug 1, 2013 Accepting new patients
Newyork-Presbyterian/Queens Cardiovascular Disease Past Accepting new patients
Booth Medical Associates PC Cardiovascular Disease Past Accepting new patients
Cardiovascular Associates of New York, P.C. Cardiovascular Disease Past Accepting new patients

Locations

2318 31st St
Ste 200
Astoria, NY 11105
Phone (718) 545-4450

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

1155 Northern Blvd
Ste 330
Manhasset, NY 11030
Phone (516) 627-4330

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

100 Port Washington Blvd
Ste 105
Roslyn, NY 11576
Phone (516) 390-9640

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1306845987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 FRANCIS LEWIS BLVD",
            "address_2": "SUITE L3A",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613028",
            "telephone_number": "718-717-0238",
            "fax_number": "718-717-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142-42 BOOTH MEMORIAL AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555342",
            "telephone_number": "718-353-4004",
            "fax_number": "718-353-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESEL",
        "first_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "150744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01076728",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwiesel82990@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "142-42 Booth Memorial Avenue",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113555342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.