Wanessa P Risko, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

78884 Issued in MA

Practice address

32 Union St
Newton Centre, MA 02459-2057

Phone

(617) 564-0123

Fax

(617) 467-5318

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wrisko13452@direct.chppoc.masshiway.net

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.

• Singular Pediatrics L.L.C.

  • Pediatrics Physician
  • Newton, MA
  • NPI 1811322738
  NPD (past) Authorized official
• Newton Pediatrics LLC

  • Exclusive Provider Organization
  • Chestnut Hill, MA
  • NPI 1346552080
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1598858722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 UNION ST",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592057",
            "telephone_number": "617-209-3933",
            "fax_number": "617-467-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 UNION ST",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592057",
            "telephone_number": "617-564-0123",
            "fax_number": "617-467-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKO",
        "first_name": "WANESSA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "78884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3120730",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Rellas, D.M.D.
• Retinacheck, Inc.
• Patricia Ellen Rice, LICSW
• Pamela Falaguerra Riddle
• Laura Rinaldi, MS, MFT
• Alyssa Robinson
• Ethan Samuel Rofman, M.D.
• Carly Rosen, MA
• Lawrence Elliot Rosenberg, M.D.
• Samuel Caplan Roth, PH.D.

• Pediatrics Physician in Newton Centre, MA
• Providers in Newton Centre, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.