Peter Kim Wayne, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

132616 Issued in NY

Practice address

469 N Broadway
Yonkers, NY 10701-1923

Phone

(914) 969-1115

Fax

(914) 968-0402

NPI assigned

Jun 10, 2005

Last updated

May 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Gastroenterology

Education

Albert Einstein College of Medicine of Yeshiva University, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St John's Riverside Hospital Hospital, Yonkers, NY, CCN 330208
• St Joseph's Medical Center Hospital, Yonkers, NY, CCN 330006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: peter.wayne.p1@direct.saintjosephs.nextgenshare.com

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

• Westchester Digestive Disease Group, LLP

  • Gastroenterology Physician
  • Yonkers, NY
  • NPI 1396920872
  Medicare reassignment NPD Authorized official
• St. Joseph's Hospital Yonkers

  dba Saint Joseph's Hospital Medical Center Department of Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Yonkers, NY
  • NPI 1356316921
  Medicare reassignment NPD
• St Josephs Hospital Yonkers

  • General Acute Care Hospital
  • Harrison, NY
  • NPI 1679883037
  NPD
• St. Joseph's Hospital & Medical Center

  • Family Medicine Physician
  • Yonkers, NY
  • NPI 1083689657
  NPD

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

• St Josephs Hospital Yonkers

  • General Acute Care Hospital
  • Harrison, NY
  • NPI 1679883037
  Care Compare affiliation
• St. John's Riverside Hospital

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1578526695
  Care Compare affiliation
• St. Joseph's Hospital, Yonkers

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1477640258
  Care Compare affiliation
• St.Vincent's Hospital Westchester

  • Case Management Agency
  • Harrison, NY
  • NPI 1760792139

  Hospital

  Care Compare affiliation
• St.Vincent's Hospital Westchester

  • Adult Mental Health Clinic/Center
  • Harrison, NY
  • NPI 1932419306

  Hospital

  Care Compare affiliation
• St.Vincents Hospital Westchester

  • Adult Mental Health Clinic/Center
  • Harrison, NY
  • NPI 1578873949

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1831193457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011923",
            "telephone_number": "914-969-1115",
            "fax_number": "914-968-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 N BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011923",
            "telephone_number": "914-969-1115",
            "fax_number": "914-968-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "PETER",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "132616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Watkis, MS
• Stacey-Ann Watson, LMSW
• Susan Taylor Watson, LCSW
• Wave NP in Psychiatry PLLC
• Veraline Wayland
• Anum Wazir, MD
• Jacquelyn Evett Weaver
• Lisa Nicole Webb, LCSWR
• Wecare Pharmacy Inc (Yonkers Pharmacy)
• Mitchell A. Weiner, D.C.

• Gastroenterology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.