Active NPI
Milton Leonard Wainberg, MD
- Psychiatry Physician
- New York, NY
National Provider Identifier
1861549198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 196535
- Practice address
- 145 W 86TH St
1B
New York, NY 10024 - Phone
- (212) 543-6175
- Fax
- (212) 543-5962
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 196535 | NY | Primary |
Addresses
Primary practice location
145 W 86TH St
1B
New York, NY 10024
Mailing address
2628 Broadway
15A
New York, NY 10025
Phone (212) 543-6175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NYS-196535 | Other | NY | NEW YORK STATE LICENSE |
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
Interoperability endpoints
- mlw9012@direct.nyp.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1861549198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2628 BROADWAY",
"address_2": "15A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-543-6175",
"fax_number": "212-543-5962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 86TH ST",
"address_2": "1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-543-6175",
"fax_number": "212-543-5962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAINBERG",
"first_name": "MILTON",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "196535",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE",
"identifier": "NYS-196535",
"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 May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.