Individual provider Active NPI

William Matthew White, MD

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1659574101
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
211466 Issued in MA
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

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090408000317 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5294882262 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211466MAMDOtolaryngology Physician
249001NYMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Park Aesthetic Surgery Current Accepting new patients
New York University CurrentSince Jun 15, 2010 Accepting new patients
New York University Otolaryngology CurrentSince Jun 15, 2010 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

  • Direct secure messaging: wwhite67593@northwell.direct-ci.com
  • Direct secure messaging: wwhite684300@nychhc.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.