Individual provider Active NPI

Thomas T Woloszyn, MD

  • Plastic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1407874787
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
182400 Issued in NY
Practice address
8417 Fort Hamilton Pkwy
Ground Floor
Brooklyn, NY 11209-4805
Phone
(347) 497-5587
Fax
(347) 497-5957
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 182400 NY Primary
Orthopaedic Hand Surgery Physician 207XS0106X 182400 NY

Addresses

Primary practice location

8417 Fort Hamilton Pkwy
Ground Floor
Brooklyn, NY 11209-4805

Mailing address

8417 Fort Hamilton Pkwy
Ground Floor
Brooklyn, NY 11209-4805
Phone (347) 497-5587

Other identifiers 1

IdentifierTypeStateIssuer
01679670MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20100201000418 NY Practitioner - Plastic and Reconstructive Surgery 6002970324 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY
I20100609000875 NJ Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 6002970324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
R Franklin University of Med & Sci/Chicago Medical School, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Spine and Wellness Center LLCGroup PAC ID 1951487016, 8 clinicians
North Star Medical PCGroup PAC ID 6103885264, 3 clinicians

Practice addresses (Care Compare)

1043 Raritan Rd
Clark, NJ 07066-1316
Phone (732) 827-0800

1408 Ocean Ave
FL 3
Brooklyn, NY 11230-3814
Phone (718) 943-0008

50 Brighton 1St Rd
Apt 17K
Brooklyn, NY 11235-8107

8417 Fort Hamilton Pkwy
Brooklyn, NY 11209-4805
Phone (347) 497-5587

Hospital & facility affiliations

  • Staten Island University Hospital Hospital, Staten Island, NY, CCN 330160

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182400NYMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Medical PC CurrentSince Sep 1, 2019 Accepting new patients
Hand Treatment Center NJ CurrentSince Mar 22, 2010 Accepting new patients
Northeast Spine & Wellness Center LLC CurrentSince Jul 1, 2015 Accepting new patients
Thomas Woloszyn, MD PastSince Jan 1, 1990 Accepting new patients

Locations

1043 Raritan Rd
Clark, NJ 07066
Phone (732) 382-3300

1270 State Route 35
Ste 2
Middletown, NJ 07748
Phone (347) 497-5587

1408 Ocean Ave
Fl 3
Brooklyn, NY 11230
Phone (718) 252-0101

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: twoloszyn68096@northwell.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1407874787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 FORT HAMILTON PKWY",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094805",
            "telephone_number": "347-497-5587",
            "fax_number": "347-497-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 FORT HAMILTON PKWY",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094805",
            "telephone_number": "347-497-5587",
            "fax_number": "347-497-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSZYN",
        "first_name": "THOMAS",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "182400",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "182400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01679670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.