Marc E Wietschner, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

186943 Issued in NY

Practice address

342 Jericho Tpke
Floral Park, NY 11001-2108

Phone

(516) 354-2020

Fax

(516) 354-0400

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Albert Einstein College of Medicine of Yeshiva University, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: marcwietschner@mai.allscriptsdirect.net
• Direct secure messaging: marc.wietschner.p1@direct.ocli.nextgenshare.com

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.

• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Rockville Centre, NY
  • NPI 1285675660
  Medicare reassignment Care Compare group NPD
• Marc E Wietschner MD P C

  • Ophthalmology Physician
  • Floral Park, NY
  • NPI 1326248808
  Medicare reassignment Authorized official
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Stony Brook, NY
  • NPI 1245271600
  NPD (past)
• University Group Medical Associates, P.C

  • Diagnostic Radiology Physician
  • Brooklyn, NY
  • NPI 1285683102

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1477555829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012108",
            "telephone_number": "516-354-2020",
            "fax_number": "516-354-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012108",
            "telephone_number": "516-354-2020",
            "fax_number": "516-354-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETSCHNER",
        "first_name": "MARC",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "186943",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "186943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Waldow
• Walgreen Co
• Jeanne Walsh
• Kenneth Paul Wank, D.C.
• Catherine M. White, MA,CCC-SLP
• Tara Wight
• Mordeana Morquita Williams, DNP, FNP
• Teresa Elisabeth Wiszowaty
• Philip Wong, MD
• Rosie M Wong, M.D.

• Retina Specialist (Ophthalmology) Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Retina Specialist (Ophthalmology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.