NPIMap

Individual provider Active NPI

Justyna Watkowska, M.D., FACC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1881666097
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
219286 Issued in NY
Practice address
1787 Madison Ave
Suite # 50 C
New York, NY 10035-4518
Phone
(212) 348-9400
Fax
(212) 348-9405
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 43817 CT
Cardiovascular Disease Physician 207RC0000X 219286 NY Primary

Addresses

Primary practice location

1787 Madison Ave
Suite # 50 C
New York, NY 10035-4518

Mailing address

26 Lily Pond LN
Katonah, NY 10536-1803
Phone (914) 301-5277

Other identifiers 1

IdentifierTypeStateIssuer
02377535MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwatkowska43623@nyumc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001168 NY Practitioner - Nuclear MedicinePractitioner - Cardiovascular Disease (Cardiology) 7810978061 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY; New York, NY; Ridgewood, NY

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43817CTMDCardiovascular Disease Physician
219286NYMDCardiovascular Disease Physician

Practice roles (7 of 11)

OrganizationSpecialtyStatusNew patients
New York Cardiovascular Specialist PC Cardiovascular Disease CurrentSince Jun 17, 2010 Accepting new patients
New York University Cardiovascular Disease CurrentSince Aug 1, 2013 Accepting new patients
New York University Cardiovascular Disease CurrentSince Aug 1, 2013 Accepting new patients
1211 WPR Medical Services PC Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Forest Medcare P.C. Past Accepting new patients
Chinatown Cardiology, P.C. Cardiovascular Disease Past Accepting new patients
Iraj Rahmati MD PC Past Accepting new patients

Locations

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

1220 Avenue P
Brooklyn, NY 11229
Phone (718) 375-7546

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1881666097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LILY POND LN",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105361803",
            "telephone_number": "914-301-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 MADISON AVE",
            "address_2": "SUITE # 50 C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100354518",
            "telephone_number": "212-348-9400",
            "fax_number": "212-348-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKOWSKA",
        "first_name": "JUSTYNA",
        "credential": "M.D., FACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "43817",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "219286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02377535",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwatkowska43623@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1787 Madison Ave",
            "address_2": "Suite # 50 C",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100354518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.