Jerry C. Wachtel, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

161249 Issued in NY

Practice address

8605 Flatlands Ave
Brooklyn, NY 11236-3607

Phone

(718) 257-1500

Fax

(718) 257-6114

NPI assigned

Dec 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1841473394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363607",
            "telephone_number": "718-257-1500",
            "fax_number": "718-257-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 FLATLANDS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363607",
            "telephone_number": "718-257-1500",
            "fax_number": "718-257-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "JERRY",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "161249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01014126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel N Wachs, LMSW
• Judith Wachsler
• Shayna Wachsler
• Baila Wachsman, FNP-C
• Rachel Wachsman
• Jessica Addi Wachtel, MD
• Paul Michael Wachtel
• Ruby Marcia Wachtel, NURSE PRACTITIONER
• Kimberly Wachter
• Judith Wackman-Williams, PMHNP

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.