Jonathan Samuel Waldman, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

224101 Issued in NY

Practice address

1101 Nott St
Schenectady, NY 12308-2425

Phone

(518) 243-4135

Fax

(518) 243-1367

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Internal MedicineAlso: Nephrology

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
• O'Connor Hospital Hospital, Delhi, NY, CCN 331305
• St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
• River Ridge Living Center Nursing home, Amsterdam, NY, CCN 335422
• Warren Center for Rehabilitation and Nursing Nursing home, Queensbury, NY, CCN 335549
• The Grand Rehabilitation and NRSG at Guilderland Nursing home, Altamont, NY, CCN 335540
• Glens Falls Center for Rehabilitation and Nursing Nursing home, Glens Falls, NY, CCN 335306
• Ghent Rehabilitation & Nursing Center Nursing home, Ghent, NY, CCN 335766

Merit-based Incentive Payment System (MIPS)

Final score

91.26 of 100Reported as individual

Quality

85

Improvement activities

40

Cost

65.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.waldman.1@1823.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• CLR Troy LLC

  • Skilled Nursing Facility
  • Troy, NY
  • NPI 1982131611

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• River Ridge Operating LLC

  • Skilled Nursing Facility
  • Amsterdam, NY
  • NPI 1376971788

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Medical Care Transitions, PLLC

  • Internal Medicine Physician
  • Queensbury, NY
  • NPI 1568231058
  Medicare reassignment NPD Authorized official
• Gloversville Physician Medicine Services PC

  • Hospitalist Physician
  • Gloversville, NY
  • NPI 1487907630
  Medicare reassignment NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1275962011
  Medicare reassignment NPD
• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  NY

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  NY

  Medicare reassignment NPD
• Select PT, OT & SLP Rehabilitation Ny PLLC

  • Rehabilitation Clinic/Center
  • Hudson, NY
  • NPI 1457026353
  Care Compare group
• Albany Medical College

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1386038925
  NPD
• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1386689248

  Nephrology

  NPD
• Albany Medical College

  • Physical Medicine & Rehabilitation Physician
  • Albany, NY
  • NPI 1629008537

  Internal Medicine

  NPD
• Hospitalist Healthcare Services PLLC

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1902224520
  NPD
• CLR Glens Falls LLC

  • Skilled Nursing Facility
  • Glens Falls, NY
  • NPI 1013443498
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLR Glens Falls LLC

  • Skilled Nursing Facility
  • Glens Falls, NY
  • NPI 1013443498

  Nursing home

  Care Compare affiliation
• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation
• GRNC Operating LLC

  • Skilled Nursing Facility
  • Ghent, NY
  • NPI 1184260085

  Nursing home

  Care Compare affiliation
• Guilderland Operator LLC

  • Skilled Nursing Facility
  • Altamont, NY
  • NPI 1346797917

  Nursing home

  Care Compare affiliation
• O'Connor Hospital

  • Critical Access Hospital
  • Delhi, NY
  • NPI 1891728192
  Care Compare affiliation
• River Ridge Operating LLC

  • Skilled Nursing Facility
  • Amsterdam, NY
  • NPI 1376971788

  Nursing home

  Care Compare affiliation
• St. Mary'S Healthcare

  • General Acute Care Hospital
  • Amsterdam, NY
  • NPI 1811977796
  Care Compare affiliation
• The Community Hospice Inc

  • Community Based Hospice Care Agency
  • Albany, NY
  • NPI 1588631733
  Care Compare affiliation
• Warren Operations Associates LLC

  • Skilled Nursing Facility
  • Queensbury, NY
  • NPI 1497126551

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1669415501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-243-4135",
            "fax_number": "518-243-1367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1019 Wicker St",
            "address_purpose": "LOCATION",
            "city": "Ticonderoga",
            "state": "NY",
            "postal_code": "128831039",
            "country_code": "US",
            "telephone_number": "518-761-0300 x31404",
            "fax_number": "518-824-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "JONATHAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224101",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "224101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02675794",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jonathan.waldman.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1019 Wicker St",
            "city": "Ticonderoga",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128831039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Wagner, LCSW
• Jessica Wakefield
• Wal-Mart Stores East , LP
• Wal-Mart Stores East, LP
• Lelia Walcott
• Sarah R Waldron
• Oteng Walebowa, MD
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Nephrology Physician in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.