Wayne Howard Wertheim, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

137692 Issued in NY

Practice address

118 Glen Cove Rd
Roslyn Heights, NY 11577-1718

Phone

(516) 299-5500

Fax

(516) 280-2137

NPI assigned

Jan 15, 2008

Last updated

Jan 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Primary Medical Care

  • Internal Medicine Physician
  • Hicksville, NY
  • NPI 1982656989
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1316123847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 699",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117470699",
            "telephone_number": "516-299-5500",
            "fax_number": "516-280-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GLEN COVE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771718",
            "telephone_number": "516-299-5500",
            "fax_number": "516-280-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTHEIM",
        "first_name": "WAYNE",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "137692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Webber
• Nicholas Weber, MD
• Rona T Weiss, PSYCHOLOGIST
• Wellcare Physical Therapy PC
• Wendy's Walkers
• Harry A. Winters, MD
• Rhonda Wolf
• Gary Wu, OTR/L
• Canney Shao Yang, LMT
• Susan S Yang, RPH

• Internal Medicine Physician in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.