Organization Active NPI

Thaddeus Wandel M. D., P. C.

  • Ophthalmology Physician
  • Croton on Hudson, NY
National Provider Identifier
1447421458
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
098683 Issued in NY
Legal business name
THADDEUS WANDEL M. D., P. C.
Practice address
136 Old Post Rd N
Croton on Hudson, NY 10520-1934
Phone
(914) 271-5026
Fax
(914) 271-6592
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Ms. Shirley Bollin
Title
Office Manager
Phone
(914) 271-5026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 098683 NY Primary

Addresses

Primary practice location

136 Old Post Rd N
Croton on Hudson, NY 10520-1934

Mailing address

136 Old Post Rd N
Croton on Hudson, NY 10520-1934
Phone (914) 271-5026

Other identifiers 1

IdentifierTypeStateIssuer
00168263MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1447421458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 OLD POST RD N",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201934",
            "telephone_number": "914-271-5026",
            "fax_number": "914-271-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OLD POST RD N",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201934",
            "telephone_number": "914-271-5026",
            "fax_number": "914-271-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THADDEUS WANDEL M. D., P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "BOLLIN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-271-5026",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "098683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00168263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.