Individual provider Active NPI

Warren Altwerger, DPM

  • Podiatrist
  • Newburgh, NY
National Provider Identifier
1831278373
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N2928 Issued in NY
Practice address
450 Gidney Ave
Newburgh, NY 12550-3116
Phone
(845) 565-3331
Fax
(845) 465-3351
NPI assigned
Nov 3, 2006
Last updated
Oct 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N2928 NY Primary

Addresses

Primary practice location

450 Gidney Ave
Newburgh, NY 12550-3116

Mailing address

450 Gidney Ave
Newburgh, NY 12550-3116
Phone (845) 565-3331

Other identifiers 6

IdentifierTypeStateIssuer
0083825OtherGHI
990109OtherMVP
PL6301OtherNYEMPIRE BLUE CROSS BLUE SH
104012OtherWELLCARE
P2810453OtherOXFORD
P37222OtherNYEMPIRE BLUE CROSS BLUE SH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000673 NY Practitioner - Podiatry 9537256862 Practice locations: Newburgh, NY; Ossining, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

43 S Highland Ave
Ossining, NY 10562-5226
Phone (914) 941-0206

450 Gidney Ave
Newburgh, NY 12550-3116
Phone (845) 565-3331

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue106
Removal of skin lesions1-10
Removal of nail tissue397
Removal or shaving of skin growth15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N2928NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Altwerger Podiatrist CurrentSince Jun 15, 2005 Accepting new patients
Warren Altwerger Podiatrist CurrentSince Jun 15, 2005 Accepting new patients
Newburgh Podiatry PLLC Podiatrist PastSince Oct 18, 2009 Accepting new patients

Locations

450 Gidney Ave
Newburgh, NY 12550
Phone (845) 562-1100

450 Gidney Ave
Ste 3
Newburgh, NY 12550
Phone (845) 565-3331

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1831278373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503116",
            "telephone_number": "845-565-3331",
            "fax_number": "845-465-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GIDNEY AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503116",
            "telephone_number": "845-565-3331",
            "fax_number": "845-465-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTWERGER",
        "first_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N2928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0083825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "990109",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "PL6301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "104012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2810453",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "P37222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.