Active NPI
Judy Ann Wesolowski, MD
- Obstetrics & Gynecology Physician
- North Tonawanda, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 202730
- Practice address
- 415 Tremont St Ste 4
North Tonawanda, NY 14120-6135 - Phone
- (716) 656-4077
- NPI assigned
- Dec 6, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 202731 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 202730 | NY | Primary |
Addresses
Primary practice location
415 Tremont St Ste 4
North Tonawanda, NY 14120-6135
Mailing address
PO Box 488
Buffalo, NY 14240-0488
Phone (716) 852-4772
Other practice location 1
5300 Military Rd
Wound & Hyperbaric Center
Lewiston, NY 14092-1903
Phone (716) 297-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01736025 | 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3669 Southwestern Blvd
Orchard Park, NY 14127-1732
Phone (716) 662-0500
415 Tremont St
North Tonawanda, NY 14120-6135
Phone (716) 710-8266
565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000
Hospital & facility affiliations
- Kaleida Health
- Mount St. Mary'S Hospital & Health Center
- Mercy Hospital of Buffalo
- Niagara Falls Memorial Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 13 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202730 | NY | MD | Obstetrics & Gynecology Physician |
| 202731 | NY | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Obstetrics & Gynecology | Current | Accepting new patients |
| Mount St. Mary'S Hospital of Niagara Falls | Current | Accepting new patients | |
| General Physician, PC | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo, New York | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Mount St. Mary'S Hospital of Niagara Falls | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Gynecology Obstetric Associates of Wny PC | Current | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
5290 Military Rd
Ste 8
Lewiston, NY 14092
Phone (716) 297-9379
5320 Military Rd
Ste 103
Lewiston, NY 14092
Phone (716) 297-5990
415 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2691
415 Tremont St
Fl 2
North Tonawanda, NY 14120
415 Tremont St
Ste 4
North Tonawanda, NY 14120
908 Niagara Falls Blvd
North Tonawanda, NY 14120
Phone (716) 238-3161
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Interoperability endpoints
- jwesolowski@gppc.medentdirect.com
- jwesolowski20301@direct.chsbuffalo.org
Organizations & group practices 12
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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Obstetrics & Gynecology Nurse Practitioner
- Lewiston, NY
- NPI 1962690214
-
- Pulmonary Disease Physician
- Kenmore, NY
- NPI 1659909752
-
- Skilled Nursing Facility
- Buffalo, NY
- NPI 1144262908
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1417285891
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1568090660
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1659396380
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1528042108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142400488",
"telephone_number": "716-852-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 TREMONT ST STE 4",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141206135",
"telephone_number": "716-656-4077"
}
],
"practiceLocations": [
{
"address_1": "5300 Military Rd",
"address_2": "Wound & Hyperbaric Center",
"address_purpose": "LOCATION",
"city": "Lewiston",
"state": "NY",
"postal_code": "140921903",
"country_code": "US",
"telephone_number": "716-297-4800",
"fax_number": "716-298-3016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESOLOWSKI",
"first_name": "JUDY",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-06",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "NY",
"license": "202731",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "202730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01736025",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.