Individual provider Active NPI

Randee S Wysoki, M.D.

  • Obstetrics & Gynecology Physician
  • White Plains, NY
National Provider Identifier
1629164017
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
181086 Issued in NY
Practice address
210 Westchester Avenue
Suite 306
White Plains, NY 10604-4714
Phone
(914) 831-6800
Fax
(914) 831-6801
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 181086 NY Primary

Addresses

Primary practice location

210 Westchester Avenue
Suite 306
White Plains, NY 10604-4714

Mailing address

210 Westchester Avenue
Suite 306
White Plains, NY 10604-4714
Phone (914) 831-6800

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
I20071024000423 NY Practitioner - Obstetrics/Gynecology 2264529171

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: rwysoki@hiemail.healtheconnections.org

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1629164017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVENUE",
            "address_2": "SUITE 306",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106044714",
            "telephone_number": "914-831-6800",
            "fax_number": "914-831-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVENUE",
            "address_2": "SUITE 306",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106044714",
            "telephone_number": "914-831-6800",
            "fax_number": "914-831-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSOKI",
        "first_name": "RANDEE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "181086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.