Active NPI
William Matthew White, MD
- Otolaryngology Physician
- New York, NY
National Provider Identifier
1659574101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 211466
- Practice address
- 800A 5TH Ave Ste 502a
New York, NY 10065-7215 - Phone
- (646) 957-7207
- Fax
- (646) 568-7171
- NPI assigned
- Jun 11, 2007
- 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 |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | 249001 | NY | |
| Otolaryngology Physician | 207Y00000X | 211466 | MA | Primary |
Addresses
Primary practice location
800A 5TH Ave Ste 502a
New York, NY 10065-7215
Mailing address
800A 5TH Ave Ste 502a
New York, NY 10065-7215
Phone (646) 957-7207
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211466 | MA | MD | Otolaryngology Physician |
| 249001 | NY | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Park Aesthetic Surgery | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Otolaryngology | Current | Accepting new patients |
Locations
530 1st Ave
Ste 3C
New York, NY 10016
Phone (212) 263-0330
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- wwhite67593@northwell.direct-ci.com
- wwhite684300@nychhc.direct-ci.com
- mwhite7181@nyumc.direct-ci.com
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Otolaryngology
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- New York, NY
- NPI 1427876788
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1659574101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800A 5TH AVE STE 502A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657215",
"telephone_number": "646-957-7207",
"fax_number": "646-568-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800A 5TH AVE STE 502A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657215",
"telephone_number": "646-957-7207",
"fax_number": "646-568-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "WILLIAM",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NY",
"license": "249001",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "211466",
"primary": true
}
],
"identifiers": [],
"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 Apr 4, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.