Wilbur Jeremiah Asheld, DO
Individual provider Active NPI Nuclear Cardiology Physician · West Islip, NY
NPI 1710247549 · NPPES record last updated Dec 21, 2018
Key facts
- NPI
- 1710247549
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nuclear Cardiology Physician 207UN0901X
- License
- 273780 (NY)
- Practice address
- 540 Union Blvd
West Islip, NY 11795-3105 - Phone
- (631) 669-2555
- Fax
- (631) 669-5787
- NPI assigned
- May 27, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiac Ekg Interpretation, P. C.
Long Island Comprehensive Medical Care PLLC
St Francis Hospital
Practice addresses (Care Compare)
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225
1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone 6316670388612
540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2255
Hospital & facility affiliations
- St Francis Hospital - the Heart Center
- Good Samaritan Hospital Medical Center
- St Catherine of Siena Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150407002228 | NY | Practitioner - Cardiovascular Disease (Cardiology) |
1355669185 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273780 | NY | MD | Nuclear Cardiology Physician |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Ekg Interpretation, P. C. | Cardiovascular Disease | Current |
Accepting new patients |
| Advantagecare Physicians PC | Current |
Accepting new patients | |
| Advantagecare Physicians PC | Current |
Accepting new patients | |
| North Shore-Lij Medical PC | Cardiovascular Disease | Current |
Accepting new patients |
| Shahzad Iqbal Physician PLLC | Past |
Accepting new patients | |
| St Francis Hospital United States Catholic Conference | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
300 Community Dr
Plandome, NY 11030
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
540 Union Blvd
West Islip, NY 11795
Phone (631) 669-2555
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- washeld75363@direct-chsli.net
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 273780 | NY | |
| Nuclear Cardiology Physician | 207UN0901X | 273780 | NY | Yes |
Addresses
Primary practice location
540 Union Blvd
West Islip, NY 11795-3105
Mailing address
540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2555
Other providers in West Islip, NY
- Arnbjorn Wollebaek Toset MD PC
- Abenamar Arrillaga
- Joseph Umberto Artale
- Frank G Arthus
- John Joseph Wilbur Asheld III
- Ashley Brethel Speech-Language Pathology PLLC
- Annabelle Jolicoeur Assad
- Athanasios Antoniadis OB GYN PC
- Atlantic Neurosurgery PC
- Atlantic SC LLC
All providers in West Islip, NY · Nuclear Cardiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.