Individual provider Active NPI

Israel Wiznitzer, MD

  • Medical Oncology Physician
  • Sunrise, FL
National Provider Identifier
1720013790
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME84626 Issued in FL
Practice address
8395 W Oakland Park Blvd
Ste a
Sunrise, FL 33351-7301
Phone
(954) 747-6220
Fax
(954) 747-6228
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X ME84626 FL Primary

Addresses

Primary practice location

8395 W Oakland Park Blvd
Ste a
Sunrise, FL 33351-7301

Mailing address

12309 Pembroke Rd
Pembroke Pines, FL 33025-1723
Phone (954) 432-6595

Other identifiers 2

IdentifierTypeStateIssuer
62700OtherFLBCBS
025136300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20040910000060 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1951214998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew Taub MD PAGroup PAC ID 0749469856, 4 clinicians

Practice addresses (Care Compare)

12309 Pembroke Rd
Pembroke Pines, FL 33025-1723
Phone (954) 432-6595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Taub MD PA CurrentSince Feb 12, 2024 Accepting new patients

Locations

12309 Pembroke Rd
Pembroke Pines, FL 33025
Phone (954) 392-4750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1720013790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 PEMBROKE RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251723",
            "telephone_number": "954-432-6595",
            "fax_number": "954-324-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 W OAKLAND PARK BLVD",
            "address_2": "STE A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517301",
            "telephone_number": "954-747-6220",
            "fax_number": "954-747-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIZNITZER",
        "first_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME84626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025136300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.