Martin Theodore Wilner, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

166766 Issued in NY

Practice address

60 E 66TH St
Suite 3a
New York, NY 10021-6540

Phone

(212) 288-9700

Fax

(212) 288-3421

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 1, 2012 through Jun 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518022367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E 66TH ST",
            "address_2": "SUITE 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216540",
            "telephone_number": "212-288-9700",
            "fax_number": "212-288-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 66TH ST",
            "address_2": "SUITE 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100216540",
            "telephone_number": "212-288-9700",
            "fax_number": "212-288-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILNER",
        "first_name": "MARTIN",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "166766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Wilner, MS, CGC
• Elizabeth Wilner, RD
• Judy Schaer Wilner
• Leeza Hirt Wilner, MD
• Mark C. Wilner, M.D.
• Melvin Jerry Wilner, D.D.S.
• Morris Wilner, DPM
• Philip Jonathan Wilner, M.D.
• Warren Elliot Wilner, PHD
• Tessa Wilson-Ewing, M.D.

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.