Active NPI
John C Wirth III, M.D.
- Obstetrics & Gynecology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 209892-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01810457 | Medicaid | NY |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209892-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | 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 | Current | Accepting new patients |
| Physician Affiliate Group of New York PC | Current | 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
- 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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Obstetrics & Gynecology Physician
- Niskayuna, NY
- NPI 1518285055
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Clinic/Center
- Brooklyn, NY
- NPI 1356406136
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
-
- Family Medicine Physician
- New York, NY
- NPI 1396780581
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1902963465
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
- 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.