Active NPI
Ayala Miller Wegman, M.D.
- Pediatrics Physician
- New York, NY
National Provider Identifier
1780979054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 270367
- Practice address
- 1559 York Ave
New York, NY 10028-6001 - Phone
- (212) 585-3329
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 270367 | NY | Primary |
Addresses
Primary practice location
1559 York Ave
New York, NY 10028-6001
Mailing address
1559 York Ave
New York, NY 10028-6001
Phone (631) 252-1841
Other names 1
- Ayala Miller
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270367 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- amillerwegman335092@nyumc.direct-ci.com
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1780979054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100286001",
"telephone_number": "631-252-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1559 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100286001",
"telephone_number": "212-585-3329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGMAN",
"first_name": "AYALA",
"middle_name": "MILLER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "270367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AYALA",
"last_name": "MILLER",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.