Active NPI
Alan Werzberger, M.D., F.A.A.P.
- Pediatrics Physician
- Monroe, NY
National Provider Identifier
1699850313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 161432
- Practice address
- 22 Van Buren Dr
Suite 102
Monroe, NY 10950-6018 - Phone
- (845) 783-0989
- Fax
- (845) 782-6706
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 161432 | NY | Primary |
Addresses
Primary practice location
22 Van Buren Dr
Suite 102
Monroe, NY 10950-6018
Mailing address
22 Van Buren Dr
Suite 102
Monroe, NY 10950-6018
Phone (845) 783-0989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02510492 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22 Van Buren Dr
Monroe, NY 10950-6018
Phone (845) 783-2222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- alw9015@direct.nyp.org
Organizations & group practices 2
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.
-
- Clinic/Center
- Monroe, NY
- NPI 1609923671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1699850313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 VAN BUREN DR",
"address_2": "SUITE 102",
"city": "MONROE",
"state": "NY",
"postal_code": "109506018",
"telephone_number": "845-783-0989",
"fax_number": "845-782-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 VAN BUREN DR",
"address_2": "SUITE 102",
"city": "MONROE",
"state": "NY",
"postal_code": "109506018",
"telephone_number": "845-783-0989",
"fax_number": "845-782-6706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERZBERGER",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D., F.A.A.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "161432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02510492",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.
- 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.