Active NPI
Mary V. Waldron, MD
- Infectious Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 184527
- Practice address
- 10 Nathan D Perlman PL
16TH Street at First Ave
New York, NY 10003-3851 - Phone
- (212) 420-2620
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 184527 | NY | Primary |
Addresses
Primary practice location
10 Nathan D Perlman PL
16TH Street at First Ave
New York, NY 10003-3851
Mailing address
PO Box 32886
Hartford, CT 06150-2886
Phone (212) 256-3539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01813583 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 184527 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Infectious Disease | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Beth Israel Medical Center | Infectious Disease | Past | Accepting new patients |
Locations
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
17 E 102nd St
New York, NY 10029
Phone (212) 241-7968
317 E 17th St
New York, NY 10003
Phone (212) 420-2390
10 Union Sq E
#3
New York, NY 10003
Phone (212) 420-4145
10 Nathan D Perlman Pl
New York, NY 10003
Phone (212) 420-2124
10 Union Sq E
New York, NY 10003
Phone (212) 253-6800
Organizations & group practices 5
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.
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- NPI 1124550280
-
- Infectious Disease Physician
- New York, NY
- NPI 1659639524
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Internal Medicine Physician
- New York, NY
- NPI 1861457202
Infectious Disease
-
- Neurology Physician
- New York, NY
- NPI 1891848461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1477511673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32886",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061502886",
"telephone_number": "212-256-3539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NATHAN D PERLMAN PL",
"address_2": "16TH STREET AT FIRST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033851",
"telephone_number": "212-420-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "MARY",
"middle_name": "V.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "184527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01813583",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.