Rodolfo P. Wert, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

040650 Issued in NY

Practice address

718 W 178TH St
Suite #5
New York, NY 10033-6435

Phone

(212) 923-1566

Fax

(212) 923-5932

NPI assigned

Dec 8, 2006

Last updated

Mar 14, 2012By the provider in NPPES

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1720147200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W 178TH ST",
            "address_2": "SUITE #5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336435",
            "telephone_number": "212-923-1566",
            "fax_number": "212-923-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 W 178TH ST",
            "address_2": "SUITE #5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336435",
            "telephone_number": "212-923-1566",
            "fax_number": "212-923-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERT",
        "first_name": "RODOLFO",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Wernick
• Nathaniel Cole Wernick, O.D.
• A. Gabriella Wernicke, M.D.
• James Carter Wernz, M.D.
• Nicole Werpachowski, DO
• Tanya Wertentheil
• Ronald Werter, DPM
• Aditi Sinha Werth, PH.D.
• Alina D. Wertheim, O.D.
• Chelsea Ilana Wertheim, M.S.

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.