Active NPI
Laura Wisniewski
- Physician Assistant
- New York, NY
National Provider Identifier
1801585203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 250 E 73Rd St Apt 20a
New York, NY 10021-4314 - Phone
- (434) 841-9333
- NPI assigned
- May 2, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
250 E 73Rd St Apt 20a
New York, NY 10021-4314
Mailing address
350 W 43Rd St Apt 10F
New York, NY 10036-6469
Phone (434) 841-9333
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Physicians of Nyc, PLLC | Current | Accepting new patients | |
| Pharma Holding Inc | Past | Accepting new patients | |
| Rockland Medical Group, PLLC | Past | Accepting new patients |
Locations
420 E 51st St
Ste A
New York, NY 10022
Phone (212) 688-8887
715 9th Ave
New York, NY 10019
Phone (212) 757-2015
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.
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1205105004
-
- Family Medicine Physician
- New York, NY
- NPI 1144947029
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1205375557
-
- Internal Medicine Physician
- New York, NY
- NPI 1730820614
-
- Pharmacy
- Brooklyn, NY
- NPI 1396153680
-
- Internal Medicine Physician
- Garnerville, NY
- NPI 1336172501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1801585203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W 43RD ST APT 10F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100366469",
"telephone_number": "434-841-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E 73RD ST APT 20A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214314",
"telephone_number": "434-841-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNIEWSKI",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 7, 2026; 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.