Individual provider Active NPI

Dawn Marie Wahezi, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1518290725
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
247750 Issued in NY
Practice address
3415 Bainbridge Ave
Children's Hospital at Montefiore, Dept. of Pediatrics
Bronx, NY 10467-2403
Phone
(718) 741-2240
Fax
(718) 944-0463
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 247750 NY Primary

Addresses

Primary practice location

3415 Bainbridge Ave
Children's Hospital at Montefiore, Dept. of Pediatrics
Bronx, NY 10467-2403

Mailing address

3415 Bainbridge Ave
Children's Hospital at Montefiore, Dept. of Pediatrics
Bronx, NY 10467-2403
Phone (718) 741-2240

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110706000162 NY Practitioner - Pediatric MedicinePractitioner - Rheumatology 4789862293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jun 17, 2011 Accepting new patients
Montefiore Medical Center Pediatrics CurrentSince Jun 17, 2011 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

141 S Central Ave
Ste 300
Hartsdale, NY 10530

Networks

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

Interoperability endpoints

  • Direct secure messaging: dwahezi@montefioredirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1518290725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 BAINBRIDGE AVE",
            "address_2": "CHILDREN'S HOSPITAL AT MONTEFIORE, DEPT. OF PEDIATRICS",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672403",
            "telephone_number": "718-741-2240",
            "fax_number": "718-944-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 BAINBRIDGE AVE",
            "address_2": "CHILDREN'S HOSPITAL AT MONTEFIORE, DEPT. OF PEDIATRICS",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672403",
            "telephone_number": "718-741-2240",
            "fax_number": "718-944-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHEZI",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "247750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.