Active NPI
Milton Waner, MD
- Otolaryngology Physician
- New York, NY
National Provider Identifier
1831155712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 231504
- Practice address
- 1725 York Ave
Suite 2-E
New York, NY 10128-7807 - Phone
- (212) 987-0979
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 231504 | NY | Primary |
Addresses
Primary practice location
1725 York Ave
Suite 2-E
New York, NY 10128-7807
Mailing address
1725 York Ave
Suite 2-E
New York, NY 10128-7807
Phone (212) 987-0979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01866619 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bimc Faculty Practice | Past | Accepting new patients |
Interoperability endpoints
- mwaner67590@northwell.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.
-
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- New York, NY
- NPI 1285911800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1831155712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 YORK AVE",
"address_2": "SUITE 2-E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101287807",
"telephone_number": "212-987-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 YORK AVE",
"address_2": "SUITE 2-E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101287807",
"telephone_number": "212-987-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANER",
"first_name": "MILTON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "231504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01866619",
"state": "NY"
}
],
"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 Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.