Individual provider Active NPI

Wael Eshak, RCS

  • Sonography Specialist/Technologist Cardiovascular
  • Staten Island, NY
National Provider Identifier
1386195568
Registry record updated Oct 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
00086449 Issued in NC
Practice address
211 Rensselaer Ave
Staten Island, NY 10312-3011
Phone
(347) 698-5547
NPI assigned
Oct 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X 00086449 NC Primary

Addresses

Primary practice location

211 Rensselaer Ave
Staten Island, NY 10312-3011

Mailing address

211 Rensselaer Ave
Staten Island, NY 10312-3011
Phone (347) 698-5547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00086449NCMDSonography Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477094400000",
    "number": "1386195568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RENSSELAER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123011",
            "telephone_number": "347-698-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RENSSELAER AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103123011",
            "telephone_number": "347-698-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHAK",
        "first_name": "WAEL",
        "credential": "RCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "NC",
            "license": "00086449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.