Active NPI
Robert Wetz, MD
- Internal Medicine Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 214932
- Practice address
- 242 Mason Ave
Suite 2B
Staten Island, NY 10305-3408 - Phone
- (781) 226-6494
- NPI assigned
- Jan 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 214932 | NY | Primary |
Addresses
Primary practice location
242 Mason Ave
Suite 2B
Staten Island, NY 10305-3408
Mailing address
1 Edgewater St
6TH FL. Payer Relations
Staten Island, NY 10305-4900
Phone (718) 226-1008
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00471059 | Other | NY | RAILROAD MEDICARE |
| 02092157 | 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- State University of New York Downstate Medical Center, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (212) 434-6980
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Physicians of University Hospital, PC | Internal Medicine | Current | Accepting new patients |
| Physicians of University Hospital, PC | Current | Accepting new patients | |
| University Physicians Group P C | Internal Medicine | Past | Accepting new patients |
| Staten Island University Hospital | Past | Accepting new patients | |
| University Physicians Group Endocrinology PLLC | Past | Accepting new patients | |
| Staten Island Hospitalists, PC | Internal Medicine | Past | Accepting new patients |
| Richard P Carr Physical Therapy Inc | Past | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
375 Seguine Ave
Staten Island, NY 10309
Phone (718) 226-2000
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
242 Mason Ave
Ste 2B
Staten Island, NY 10305
Phone (781) 226-6494
1 Edgewater St
Ste 723
Staten Island, NY 10305
1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047
4634 Amboy Rd
Staten Island, NY 10312
Phone (718) 317-9564
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- rwetz66487@northwell.direct-ci.com
Organizations & group practices 8
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Anesthesiology Physician
- Bay Shore, NY
- NPI 1023513116
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1306836978
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
-
- Endocrinology, Diabetes & Metabolism Physician
- Staten Island, NY
- NPI 1366906588
-
- General Practice Physician
- Staten Island, NY
- NPI 1104872134
Internal Medicine
-
- Physical Therapist
- San Jose, CA
- NPI 1881676377
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1508844143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EDGEWATER ST",
"address_2": "6TH FL. PAYER RELATIONS",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054900",
"telephone_number": "718-226-1008",
"fax_number": "718-226-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 MASON AVE",
"address_2": "SUITE 2B",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053408",
"telephone_number": "781-226-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETZ",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "214932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00471059",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02092157",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.