Bruce Edward Waxman, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N03143 Issued in NY

Practice address

19 Baker Ave
Ste. 203
Poughkeepsie, NY 12601-1370

Phone

(845) 471-2243

Fax

(845) 298-7750

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lewis J Sims DPM P.C.

  • Podiatrist
  • Poughkeepsie, NY
  • NPI 1043795396
  NPD (past)
• New Dimensions in Living Inc

  • Multi-Specialty Clinic/Center
  • Amsterdam, NY
  • NPI 1982674917
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1700957487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "STE. 203",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011359",
            "telephone_number": "845-471-2243",
            "fax_number": "845-298-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "STE. 203",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011370",
            "telephone_number": "845-471-2243",
            "fax_number": "845-298-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "BRUCE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N03143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671265",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurel B Wasser, RPH
• Carlton Cornelius Lindwall Watson, MD, MS
• Dawne Noble Watson, OTR/L
• Mark C Watts, MD
• Wave Counseling LCSW
• Casandra Anne Way, FNP
• Jessica Beth Wayman, PA
• WCSD
• Diahann Yvette Weathers, RN
• Marianne Weaver, R.N. SCHOOL NURSE

• Podiatrist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.