Active NPI
Matthew S Wosnitzer, M.D.
- Urology Physician
- Fairfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 246417
- Practice address
- 425 Post Rd
Suite 204
Fairfield, CT 06824-6232 - Phone
- (212) 305-0112
- Fax
- (212) 305-0114
- NPI assigned
- May 21, 2008
- Last updated
- Oct 12, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 246417 | NY | Primary |
| Urology Physician | 208800000X | 053175 | CT |
Addresses
Primary practice location
425 Post Rd
Suite 204
Fairfield, CT 06824-6232
Mailing address
425 Post Rd
Suite 204
Fairfield, CT 06824-6232
Phone (212) 305-0112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619134269 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Urology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
300 Seaside Ave
Milford, CT 06460-4603
Phone (203) 301-6261
5520 Park Ave
Trumbull, CT 06611-3463
95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053175 | CT | MD | Urology Physician |
| 246417 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients |
Locations
425 Post Rd
Ste 204
Fairfield, CT 06824
Phone (203) 254-1576
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- mwosnitzer159397@direct.ynhh.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1649260845
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1992910152
-
- General Acute Care Hospital
- Greenwich, CT
- NPI 1609846088
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1619134269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 POST RD",
"address_2": "SUITE 204",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246232",
"telephone_number": "212-305-0112",
"fax_number": "212-305-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 POST RD",
"address_2": "SUITE 204",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246232",
"telephone_number": "212-305-0112",
"fax_number": "212-305-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOSNITZER",
"first_name": "MATTHEW",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "246417",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CT",
"license": "053175",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619134269",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.