Individual provider Active NPI

Alan Werzberger, M.D., F.A.A.P.

  • Pediatrics Physician
  • Monroe, NY
National Provider Identifier
1699850313
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
161432 Issued in NY
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

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02510492MedicaidNY

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
I20170503000742 NY Practitioner - Pediatric Medicine 1254618101 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.