Andrew Alan Wiznia, M.D.

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

150295 Issued in NY

Practice address

1400 Pelham Pkwy S
Jacp-5C-15
Bronx, NY 10461-1138

Phone

(718) 918-4664

Fax

(718) 918-4699

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: awiznia839071@nychhc.direct-ci.com
• Direct secure messaging: awiznia64624@northwell.direct-ci.com

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.

• Westchester Health Medical, P.C.

  • Allergy & Immunology Physician
  • Katonah, NY
  • NPI 1386188647

  Pediatric Allergy/Immunology

  Medicare reassignment NPD
• Westchester Health Medical, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Mount Kisco, NY
  • NPI 1598203911
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710054861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "JACP-5C-15",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-4664",
            "fax_number": "718-918-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "JACP-5C-15",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-4664",
            "fax_number": "718-918-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZNIA",
        "first_name": "ANDREW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NY",
            "license": "150295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01107946",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Marie Wisniewski, PH.D.
• Emily Wisser, MA. CF-SLP
• Vanessa Wissing
• Barbara Witek Matricardi, NP
• Krystyna Anastazja Witkowski, MASTER DEGREE
• Samantha Wnukowski
• Adjoa Ahavessi Wodome
• Mary E Woesner
• Linda Akunna Wogu
• Teddy John Wohlbold, MD, PHD

• Pediatric Allergy/Immunology Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Allergy/Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.