Active NPI
Wayne Graham Whitmore, M.D.
- Ophthalmology Physician
- New York, NY
National Provider Identifier
1649211780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 134848
- Practice address
- 116 E 68TH St
New York, NY 10065-5955 - Phone
- (212) 249-3030
- Fax
- (212) 988-4140
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 134848 | NY | Primary |
Addresses
Primary practice location
116 E 68TH St
New York, NY 10065-5955
Mailing address
116 E 68TH St
New York, NY 10065-5955
Phone (212) 249-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00594234 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 7, 2023 through Dec 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134848 | NY | MD | Ophthalmology Physician |
Interoperability endpoints
- wgw2001@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1649211780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100655955",
"telephone_number": "212-249-3030",
"fax_number": "212-988-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E 68TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100655955",
"telephone_number": "212-249-3030",
"fax_number": "212-988-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMORE",
"first_name": "WAYNE",
"middle_name": "GRAHAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "134848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00594234",
"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 Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.