NPIMap

Individual provider Active NPI

David Wojtasek, MD

  • Radiological Physics Physician
  • New York, NY
National Provider Identifier
1851322432
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiological Physics PhysicianTaxonomy code 2085R0205X
License
152263 Issued in NY
Practice address
1111 Amsterdam Ave
New York, NY 10025
Phone
(212) 523-4272
Fax
(212) 523-3798
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiological Physics Physician 2085R0205X 152263 NY Primary

Addresses

Primary practice location

1111 Amsterdam Ave
New York, NY 10025

Mailing address

1780 Broadway
1100
New York, NY 10019
Phone (212) 590-2930

Other identifiers 1

IdentifierTypeStateIssuer
01149953MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
152263NYMDRadiological Physics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SLR Diagnostic Radiology, P.C. Radiological Physics Past Accepting new patients
Beth Israel Medical Center Radiological Physics Past Accepting new patients
New York Radiology Associates Radiological Physics Past Accepting new patients
West Side Radiology Associates, PC Radiological Physics Past Accepting new patients
New York Radiology Associates Radiological Physics Past Accepting new patients
SLR Diagnostic Radiology, P.C. Past Accepting new patients
East Manhattan Diagnostic Imaging, P.C. Past Accepting new patients
East Manhattan Diagnostic Imaging, PC Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Organizations & group practices 9

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1851322432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 BROADWAY",
            "address_2": "1100",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-590-2930",
            "fax_number": "212-590-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-523-4272",
            "fax_number": "212-523-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTASEK",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NY",
            "license": "152263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01149953",
            "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 Sep 23, 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.

Verify at the official NPI Registry.