Individual provider Active NPI

Michael E Waldman, MD

  • Diagnostic Radiology Physician
  • Middletown, NY
National Provider Identifier
1467434613
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
226895 Issued in NY
Practice address
185 Rykowski LN Ste 101
Middletown, NY 10941-4055
Phone
(845) 692-0030
Fax
(845) 692-0037
NPI assigned
Nov 15, 2005
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 036250 CT
Neuroradiology Physician 2085N0700X 036250 CT
Nuclear Radiology Physician 2085N0904X 036250 CT
Pediatric Radiology Physician 2085P0229X 036250 CT
Diagnostic Radiology Physician 2085R0202X 036250 CT
Diagnostic Radiology Physician 2085R0202X 226895 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X 036250 CT
Diagnostic Ultrasound Physician 2085U0001X 036250 CT

Addresses

Primary practice location

185 Rykowski LN Ste 101
Middletown, NY 10941-4055

Mailing address

185 Rykowski LN Ste 101
Middletown, NY 10941-4055
Phone (845) 692-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090413000396 NY Practitioner - Diagnostic Radiology 6901953751 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Imaging AssociatesGroup PAC ID 7416939590, 15 clinicians
Diagnostic Imaging Associates of North Jersey PAGroup PAC ID 3476511064, 8 clinicians
New Rochelle Radiology Associates PCGroup PAC ID 8921997479, 13 clinicians
Medical Diagnostic Imaging, PLLCGroup PAC ID 0547242224, 14 clinicians
Hudson Valley Diagnostic Imaging PLLCGroup PAC ID 6204729452, 16 clinicians

Practice addresses (Care Compare)

1001 Loudon Rd
Latham, NY 12110
Phone (518) 785-7373

175 Memorial Hwy
New Rochelle, NY 10801-5635
Phone (914) 633-7700

175 Memorial Hwy
Suite LL14
New Rochelle, NY 10801-5655
Phone (845) 471-2848

575 Hudson Valley Ave
Suite 101
New Windsor, NY 12553-4746
Phone (845) 220-2222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226895NYMDLicensed Practical Nurse
036250CTMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Diagnostic Imaging PLLC Current Accepting new patients
Radiologic Associates Prof Corp Neuroradiology CurrentSince May 1, 2023 Accepting new patients
Capital Imaging Associates Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Radiology Associates of Brooklyn, LLP CurrentSince Mar 1, 2024 Accepting new patients
Hudson Valley Radiology Associates PLLC Pediatric Radiology CurrentSince Aug 13, 2023 Accepting new patients
Cny Diagnostic Imaging Associates Diagnostic Radiology CurrentSince Nov 11, 2024 Accepting new patients
Urban Health Plan, Inc. Current Accepting new patients
New Rochelle Radiology Associates, P.C. Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Urban Health Plan, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Hudson Valley Diagnostic Imaging, PLLC Neuroradiology CurrentSince May 1, 2023 Accepting new patients
Urban Health Plan, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Medical Diagnostic Imaging PLLC CurrentSince Apr 7, 2024 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Body Imaging CurrentSince May 1, 2016 Accepting new patients
West Hudson Imaging Associates, PLLC Neuroradiology CurrentSince May 1, 2023 Accepting new patients
Diagnostic Imaging of Southbury Past Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 29)

27443 Network Pl
Chicago, IL 60673

19-04 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (518) 417-2474

1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222

1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600

410 E 189th St
Bronx, NY 10458
Phone (718) 220-2500

6511 Fort Hamilton Pkwy
Brooklyn, NY 11219
Phone (718) 491-4545

6740 3rd Ave
Brooklyn, NY 11220
Phone (718) 491-5822

3 Emma Ln
Clifton Park, NY 12065
Phone (518) 278-4334

1001 New Loudon Rd
Cohoes, NY 12047
Phone (412) 445-7402

3712 108th St
Corona, NY 11368
Phone (718) 639-4107

4939 Brittonfield Pkwy
Ste 102
East Syracuse, NY 13057
Phone (315) 234-9679

4510 94th St
Elmhurst, NY 11373
Phone (347) 748-6115

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

3717 76th St
Jackson Hts, NY 11372
Phone (718) 424-1400

8100 Oswego Rd
Ste 100
Liverpool, NY 13090
Phone (315) 453-5004

185 Rykowski Ln
#101
Middletown, NY 10941
Phone 84569200301100

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

745 State Route 17M
Ste 106
Monroe, NY 10950
Phone (845) 220-2222

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535

175 Memorial Hwy
Ste LL14
New Rochelle, NY 10801
Phone (914) 633-7700

575 Hudson Valley Ave
Ste 101
New Windsor, NY 12553
Phone (845) 220-2222

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

Networks

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

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1467434613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 RYKOWSKI LN STE 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414055",
            "telephone_number": "845-692-0030",
            "fax_number": "845-692-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 RYKOWSKI LN STE 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414055",
            "telephone_number": "845-692-0030",
            "fax_number": "845-692-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CT",
            "license": "036250",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CT",
            "license": "036250",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CT",
            "license": "036250",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CT",
            "license": "036250",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "036250",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "226895",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CT",
            "license": "036250",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CT",
            "license": "036250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.