Gary B Wenick, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

162047 Issued in NY

Practice address

2050 Route 22
Suite 101
Brewster, NY 10509-5948

Phone

(845) 279-2323

Fax

(845) 278-2341

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: gwenick143670@direct.optum.com

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

• Optum Medical Care, P.C.

  dba CareMount Medical, P.C.

  • Cardiovascular Disease Physician
  • Mount Kisco, NY
  • NPI 1982643003
  Medicare reassignment NPD
• Optum Medical Care, P.C.

  • Durable Medical Equipment & Medical Supplies
  • New Hyde Park, NY
  • NPI 1053190595
  NPD
• Mount Kisco Medical Group

  • Hematology (Internal Medicine) Physician
  • Fishkill, NY
  • NPI 1952356362
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1851461214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 ROUTE 22",
            "address_2": "SUITE 101",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095948",
            "telephone_number": "845-279-2323",
            "fax_number": "845-278-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 ROUTE 22",
            "address_2": "SUITE 101",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105095948",
            "telephone_number": "845-279-2323",
            "fax_number": "845-278-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENICK",
        "first_name": "GARY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "162047",
            "primary": true
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "NY",
            "license": "162047",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01251234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghin Kheng Toh Wasserman, COTA
• Peter N Waxman, MD
• Alice Marx Weafer, LCSWR
• Julie Anne Weber, OTR/L
• Ashley Mahealani Wendt, LMSW
• Catherine Werlau, LMHC
• Danielle Elizabeth Wertman, MS, OTR/L
• Selina Cele Wesley-Torres, R.N.
• Westchester Independent Living Center
• Westchester-Putnam Allergy & Asthma Care P.C.

• Pediatrics Physician in Brewster, NY
• Providers in Brewster, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.