Individual provider Active NPI

John C Wirth III, M.D.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1861456105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
209892-1 Issued in NY
Practice address
225 Broadway
Suite 901
New York, NY 10007-3001
Phone
(212) 393-9400
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 209892-1 NY Primary

Addresses

Primary practice location

225 Broadway
Suite 901
New York, NY 10007-3001

Mailing address

225 Broadway
Suite 901
New York, NY 10007-3001
Phone (212) 393-9400

Other identifiers 1

IdentifierTypeStateIssuer
01810457MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000504 NY Practitioner - Obstetrics/Gynecology 7416994298 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

165 Vanderbilt Ave
Staten Island, NY 10304-2521
Phone (718) 616-0999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
209892-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coney Island Medical Practice Plan, P.C. CurrentSince Apr 9, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 23, 2023 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 23, 2023 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Oct 11, 2025 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Ny Downtown OB GYN Associates Obstetrics & Gynecology Past Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients

Locations

2601 Ocean Pkwy
Rm 3N17
Brooklyn, NY 11235
Phone (718) 616-4554

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

227 Madison St
New York, NY 10002
Phone (212) 238-7000

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

50 Water St
Fl 3
New York, NY 10004

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

165 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 616-0999

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

Networks

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

Interoperability endpoints

  • Direct secure messaging: jwirth684462@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861456105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "SUITE 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001",
            "telephone_number": "212-393-9400",
            "fax_number": "212-393-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY",
            "address_2": "SUITE 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100073001",
            "telephone_number": "212-393-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "209892-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01810457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.