Individual provider Active NPI

Steven Wetzner, MD

  • Diagnostic Radiology Physician
  • Roxbury Crossing, MA
National Provider Identifier
1316932148
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36731 Issued in MA
Practice address
125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847
Phone
(617) 754-5800
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36731 MA Primary
Nuclear Radiology Physician 2085N0904X 36731 MA

Addresses

Primary practice location

125 Parker Hill Ave
Roxbury Crossing, MA 02120-2847

Mailing address

PO Box 9135
Att Sharon Silva
Brookline, MA 02446-9135
Phone (800) 927-0002

Other identifiers 1

IdentifierTypeStateIssuer
2034255MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110104000866 NJ Practitioner - Diagnostic Radiology 0244202638 Reassigns benefits to 1 organization
I20150505002659 NH Practitioner - Diagnostic Radiology 0244202638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Colorado School of Medicine, Denver, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toms River Xray CT and MRI Center PAGroup PAC ID 4688666456, 8 clinicians

Practice addresses (Care Compare)

154 Hwy 37 W
Toms River, NJ 08755-8059
Phone (732) 244-0777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36731MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toms River Xray CT and MRI Center PA Diagnostic Radiology CurrentSince Sep 2, 2010 Accepting new patients
Littleton Hospital Association CurrentSince Apr 1, 2015 Accepting new patients
Imaging Consultants Inc CurrentSince Sep 1, 2017 Accepting new patients
Littleton Hospital Association CurrentSince Apr 1, 2015 Accepting new patients
Littleton Hospital Association Past Accepting new patients

Locations

41 Montvale Ave
Ste 100
Stoneham, MA 02180
Phone (781) 224-5860

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

154 Route 37 W
Toms River, NJ 08755
Phone (732) 244-0777

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1316932148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9135",
            "address_2": "ATT SHARON SILVA",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469135",
            "telephone_number": "800-927-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETZNER",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "36731",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MA",
            "license": "36731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034255",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury Crossing, MA

Sources for this page

Verify at the official NPI Registry.