Westchester Digestive Disease Group, LLP

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

132616 Issued in NY

Legal business name

WESTCHESTER DIGESTIVE DISEASE GROUP, LLP

Practice address

469 N Broadway
Yonkers, NY 10701-1923

Phone

(914) 969-1115

Fax

(914) 968-0402

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Peter K Wayne, MDNPI 1831193457

Title

Partner

Phone

(914) 969-1115

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Kim Wayne, MD

  • Gastroenterology Physician
  • Yonkers, NY
  • NPI 1831193457
  Medicare reassignment NPD Authorized official
• Orest John Kozicky, MD

  • Gastroenterology Physician
  • Yonkers, NY
  • NPI 1861496481
  Medicare reassignment NPD

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1396920872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011923",
            "telephone_number": "914-969-1115",
            "fax_number": "914-968-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011923",
            "telephone_number": "914-969-1115",
            "fax_number": "914-968-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER DIGESTIVE DISEASE GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "914-969-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "132616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CC7825",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.