Ron I Wish, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

168983 Issued in NY

Practice address

112 Highmount Ave
Nyack, NY 10960-1509

Phone

(845) 358-4815

NPI assigned

Jul 23, 2007

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pain ManagementAlso: Family Practice, Osteopathic Manipulative Medicine, Psychiatry

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1740480243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HIGHMOUNT AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601509",
            "telephone_number": "845-358-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HIGHMOUNT AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601509",
            "telephone_number": "845-358-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISH",
        "first_name": "RON",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "168983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Elisabeth Willgren, MA; L.MHC
• Erica Renee Williams, NURSE PRACTITIONER
• Leona M Williams
• Susanna Kitson Willingham, MPS,ATR-BC, NCPSYA
• Beth Millstein Wish, PH.D.
• Peter Michael Wistreich
• Sally Schaum Witte, PH.D.
• Kristina Elizabeth Wodicka, D.C.
• Amy Lynne Wohl, LMSW
• Amos Wolff, LMFT

• Family Medicine Physician in Nyack, NY
• Providers in Nyack, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.