Active NPI
Steven Wetzner, MD
- Diagnostic Radiology Physician
- Roxbury Crossing, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 36731
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034255 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36731 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toms River Xray CT and MRI Center PA | Diagnostic Radiology | Current | Accepting new patients |
| Littleton Hospital Association | Current | Accepting new patients | |
| Imaging Consultants Inc | Current | Accepting new patients | |
| Littleton Hospital Association | Current | 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.
-
- Diagnostic Radiology Physician
- Toms River, NJ
- NPI 1497834873
Diagnostic Radiology, NJ
-
- Mobile Radiology Clinic/Center
- Stoneham, MA
- NPI 1881909687
-
- Durable Medical Equipment & Medical Supplies
- Littleton, NH
- NPI 1174398846
-
- Rural Health Clinic/Center
- Littleton, NH
- NPI 1811944523
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.