Active NPI
Edward J Wyluda, D.O.
- Hematology & Oncology Physician
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 289014
- Practice address
- 5008 Brittonfield Pkwy Ste 700
East Syracuse, NY 13057 - Phone
- (315) 472-7504
- Fax
- (315) 634-4677
- NPI assigned
- May 25, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OT014151 | PA | |
| Hematology & Oncology Physician | 207RH0003X | 289014 | NY | Primary |
Addresses
Primary practice location
5008 Brittonfield Pkwy Ste 700
East Syracuse, NY 13057
Mailing address
5008 Brittonfield Pkwy Ste 700
East Syracuse, NY 13057-9249
Phone (315) 472-7504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289014 | Other | NY | NYS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000
Hospital & facility affiliations
- Vna of Cape Cod
- Visiting Nurse Association of Cape Cod Hospice
- Cape Cod Hospital
- Falmouth Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.3 of 100
- Quality
- 71.45
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT014151 | PA | MD | Internal Medicine Physician |
| 289014 | NY | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Hospital Inc | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Internal Medicine | Current | Accepting new patients |
Locations
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032
Interoperability endpoints
- ewyluda13059@direct.capecodhealthcare.masshiway.net
Organizations & group practices 2
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.
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
Internal Medicine
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Dennis, MA
- NPI 1649258278
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
-
- Community Based Hospice Care Agency
- Hyannis, MA
- NPI 1366420861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477846236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 BRITTONFIELD PKWY STE 700",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579249",
"telephone_number": "315-472-7504",
"fax_number": "315-634-4677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5008 BRITTONFIELD PKWY STE 700",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "13057",
"telephone_number": "315-472-7504",
"fax_number": "315-634-4677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLUDA",
"first_name": "EDWARD",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT014151",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NY",
"license": "289014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "289014",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.