Active NPI
Casey Lauren Wilkerson, MD
- Obstetrics & Gynecology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 339997
- Practice address
- 568 Broadway RM 304
New York, NY 10012-3271 - Phone
- (212) 966-7600
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 339997 | NY | Primary |
Addresses
Primary practice location
568 Broadway RM 304
New York, NY 10012-3271
Mailing address
PO Box 81063
Cleveland, OH 44181-0063
Other practice location 1
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone (323) 260-5781
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
- Obstetrics/Gynecology
- Education
- University of California, San Diego School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 Herricks Rd
Garden City Park, NY 11040-5236
Phone (516) 742-2224
568 Broadway
RM 304
New York, NY 10012-3271
Phone (212) 966-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339997 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Square Care Medical Group, LLP | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
191 Herricks Rd
New Hyde Park, NY 11040
Phone (516) 248-0144
568 Broadway
Rm 304
New York, NY 10012
Phone (212) 966-7600
Interoperability endpoints
- casey.wilkerson.1@15987.direct.athenahealth.com
- cwilkerson767531@nyumc.direct-ci.com
- https://api.platform.athenahealth.com/15987/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Woodbury, NY
- NPI 1457392763
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1700452331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 81063",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441810063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 BROADWAY RM 304",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123271",
"telephone_number": "212-966-7600"
}
],
"practiceLocations": [
{
"address_1": "1720 E Cesar E Chavez Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900332414",
"country_code": "US",
"telephone_number": "323-260-5781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKERSON",
"first_name": "CASEY",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "339997",
"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 Dec 31, 2025; 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.