Individual provider Active NPI

James N. Wapshare, MD

  • Pediatrics Physician
  • Goshen, NY
National Provider Identifier
1467545376
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
189547 Issued in NY
Practice address
2002 Route 17M
Suite 8
Goshen, NY 10924
Phone
(845) 291-7059
Fax
(845) 291-0905
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 189547 NY Primary

Addresses

Primary practice location

2002 Route 17M
Suite 8
Goshen, NY 10924

Mailing address

2002 Route 17M
Suite 8
Goshen, NY 10924
Phone (845) 291-7059

Other identifiers 2

IdentifierTypeStateIssuer
01364167MedicaidNY
01L261OtherNYBCBS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
189547NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Pediatrics, PC Pediatrics CurrentSince Nov 19, 2023 Accepting new patients
Garnet Health Medical Center Past Accepting new patients
St. Anthony Community Hospital Past Accepting new patients

Locations

1995 Route 17M
Ste 2
Goshen, NY 10924
Phone (845) 296-7965

2002 Route 17M
Ste 8
Goshen, NY 10924
Phone (845) 291-7059

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHGIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHGIBD/Endpoint/DHGIBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1467545376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 ROUTE 17M",
            "address_2": "SUITE 8",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "10924",
            "telephone_number": "845-291-7059",
            "fax_number": "845-291-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 ROUTE 17M",
            "address_2": "SUITE 8",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "10924",
            "telephone_number": "845-291-7059",
            "fax_number": "845-291-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAPSHARE",
        "first_name": "JAMES",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "189547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01364167",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01L261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.