Individual provider Active NPI

Judy Ann Wesolowski, MD

  • Obstetrics & Gynecology Physician
  • North Tonawanda, NY
National Provider Identifier
1528042108
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
202730 Issued in NY
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

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01736025MedicaidNY

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
I20100823000243 NY Practitioner - Obstetrics/GynecologyPractitioner - Preventive Medicine 8921024993 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Preventive Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital of BuffaloGroup PAC ID 8729991666, 198 clinicians
General Physician PCGroup PAC ID 9537213079, 488 clinicians

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 Hospital, Buffalo, NY, CCN 330005
  • Mount St. Mary'S Hospital & Health Center Hospital, Lewiston, NY, CCN 330188
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202730NYMDObstetrics & Gynecology Physician
202731NYMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenmore Mercy Hospital Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Obstetrics & Gynecology CurrentSince Oct 1, 2010 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Jul 1, 2010 Accepting new patients
General Physician, PC CurrentSince Feb 1, 2024 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Oct 18, 2015 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 CurrentSince Oct 18, 2015 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Oct 1, 2010 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 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

  • Direct secure messaging: jwesolowski@gppc.medentdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.