William Joseph Waldman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19675 Issued in CT

Practice address

7 Magauran Dr
Suite 3
Stafford Springs, CT 06076-4037

Phone

(860) 684-5438

Fax

(860) 684-9848

NPI assigned

Mar 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Preferred Healthcare Associates Inc

  • Primary Care Nurse Practitioner
  • Stafford Springs, CT
  • NPI 1891458352
  NPD (past)

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851369193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MAGAURAN DR",
            "address_2": "SUITE 3",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "060764037",
            "telephone_number": "860-684-5438",
            "fax_number": "860-684-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MAGAURAN DR",
            "address_2": "SUITE 3",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "060764037",
            "telephone_number": "860-684-5438",
            "fax_number": "860-684-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "19675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001196757",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Town of Stafford (Stafford Family Services)
• Town of Stafford - Stafford Family Services
• Stephanie Tullock, LCSW
• Bernadina Lakshmi Van Deusen, LCSW
• Francis Vannostrand, M.D.
• Walgreen Co (Walgreens #17433)
• Kristen Marie Wiese, R.PH
• Emily Woods, APRN
• Amy Randall Young

• Family Medicine Physician in Stafford Springs, CT
• Providers in Stafford Springs, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.