Individual provider Active NPI

Wendy S Vitek, MD

  • Reproductive Endocrinology Physician
  • Syracuse, NY
National Provider Identifier
1609071059
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
265221 Issued in NY
Practice address
5792 Widewaters Pkwy
Syracuse, NY 13214-1847
Phone
(315) 703-3050
Fax
(518) 436-9822
NPI assigned
Jun 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT186478 PA
Reproductive Endocrinology Physician 207VE0102X MD12970 RI
Reproductive Endocrinology Physician 207VE0102X 265221 NY Primary

Addresses

Primary practice location

5792 Widewaters Pkwy
Syracuse, NY 13214-1847

Mailing address

5792 Widewaters Pkwy
Syracuse, NY 13214-1847
Phone (315) 703-3050

Other practice location 1

1561 Long Pond Rd Ste 410
Rochester, NY 14626-4135
Phone (585) 453-7760

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
I20120806000245 NY Practitioner - Obstetrics/Gynecology 4789830878 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT186478PAMDObstetrics & Gynecology Physician
MD12970RIMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Reproductive Endocrinology Infertility GP of Univ of Roch Reproductive Endocrinology CurrentSince Aug 20, 2012 Accepting new patients
University of Rochester OBGYN Subspecialties Obstetrics & Gynecology CurrentSince Aug 20, 2012 Accepting new patients
Albany Ivf-Fertility and Gynecology Center Obstetrics & Gynecology Past Accepting new patients
Rochester General Hospital PastSince Dec 1, 2015 Accepting new patients

Locations

601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691

500 Red Creek Dr
Ste 220
Rochester, NY 14623
Phone (585) 487-3378

500 Red Creek Dr
Ste 120
Rochester, NY 14623
Phone (585) 487-3400

Organizations & group practices 6

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": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1609071059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5792 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141847",
            "telephone_number": "315-703-3050",
            "fax_number": "518-436-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5792 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141847",
            "telephone_number": "315-703-3050",
            "fax_number": "518-436-9822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Long Pond Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264135",
            "country_code": "US",
            "telephone_number": "585-453-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITEK",
        "first_name": "WENDY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-17",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT186478",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "RI",
            "license": "MD12970",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "265221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.