Individual provider Active NPI

James Gilbert Widyn, M.D.

  • Anesthesiology Physician
  • Roslyn, NY
National Provider Identifier
1750516308
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
270531 Issued in NY
Practice address
100 Port Washington Blvd.
New York Cardiovascular Anesthesiologists, PC
Roslyn, NY 11576
Phone
(516) 627-6624
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 270531 NY Primary

Addresses

Primary practice location

100 Port Washington Blvd.
New York Cardiovascular Anesthesiologists, PC
Roslyn, NY 11576

Mailing address

100 Port Washington Blvd.
New York Cardiovascular Anesthesiologists, PC
Roslyn, NY 11576
Phone (516) 627-6624

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131016000948 NY Practitioner - Anesthesiology 3173757622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Cardiovascular Anesthesiologists, P.C.Group PAC ID 5799676623, 135 clinicians

Practice addresses (Care Compare)

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone (516) 627-0334

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (516) 627-6624

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.24 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270531NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital United States Catholic Conference CurrentSince Mar 1, 2020 Accepting new patients
St. Francis Hospital Current Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Jul 21, 2013 Accepting new patients
St. Francis Hospital CurrentSince Mar 1, 2020 Accepting new patients
New York Cardiovascular Anesthesiologists, P.C. Anesthesiology CurrentSince Jul 28, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Jul 21, 2013 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2200 Northern Blvd
Ste 100D
Greenvale, NY 11548
Phone (516) 243-8521

100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1750516308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD.",
            "address_2": "NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, PC",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "516-627-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD.",
            "address_2": "NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, PC",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "11576",
            "telephone_number": "516-627-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDYN",
        "first_name": "JAMES",
        "middle_name": "GILBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "270531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.