Organization Active NPI

Wadsworth Medical, PC

  • General Practice Physician
  • New York, NY
National Provider Identifier
1568648665
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
167169 Issued in NY
Legal business name
WADSWORTH MEDICAL, PC
Practice address
129 Wadsworth Ave
Suite 4
New York, NY 10033-4828
Phone
(212) 781-5889
Fax
(212) 781-6053
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Alberto Comas Espinal, M.D.
Title
President
Phone
(212) 781-5889

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 167169 NY
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 167169 NY Primary

Addresses

Primary practice location

129 Wadsworth Ave
Suite 4
New York, NY 10033-4828

Mailing address

129 Wadsworth Ave
Suite 4
New York, NY 10033-4828
Phone (212) 781-5889

Other identifiers 1

IdentifierTypeStateIssuer
00966261MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1568648665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WADSWORTH AVE",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334828",
            "telephone_number": "212-781-5889",
            "fax_number": "212-781-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WADSWORTH AVE",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334828",
            "telephone_number": "212-781-5889",
            "fax_number": "212-781-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADSWORTH MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COMAS ESPINAL",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-781-5889",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "167169",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "167169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00966261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.