Active NPI
Vincent J Wadcan
- Geriatric Pharmacist
- Bronx, NY
National Provider Identifier
1710301262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 039652-01
- Practice address
- 1 E Tremont Ave
Bronx, NY 10453-5838 - Phone
- (718) 618-7525
- Fax
- (718) 618-7526
- NPI assigned
- Feb 4, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 039652-01 | NY | Primary |
Addresses
Primary practice location
1 E Tremont Ave
Bronx, NY 10453-5838
Mailing address
27 Mount Ridge CT
Monroe, NY 10950-1161
Phone (845) 238-2512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039652-01 | NY | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1710301262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MOUNT RIDGE CT",
"city": "MONROE",
"state": "NY",
"postal_code": "109501161",
"telephone_number": "845-238-2512",
"fax_number": "718-918-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104535838",
"telephone_number": "718-618-7525",
"fax_number": "718-618-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADCAN",
"first_name": "VINCENT",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-04",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NY",
"license": "039652-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.