Nathaniel Wisch, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

082711 Issued in NY

Practice address

12 E 86TH St
Ofc 4
New York, NY 10028-0506

Phone

(212) 861-6660

NPI assigned

Jul 21, 2005

Last updated

May 31, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• University of Rochester

  dba Strong Memorial Hospital Psych

  • Psychiatric Hospital Unit
  • Rochester, NY
  • NPI 1154482628

  Corporate Director

  CMS ownership
• University of Rochester

  dba Strong Memorial Hospital Rehab

  • Rehabilitation Hospital Unit
  • Rochester, NY
  • NPI 1366502098

  Corporate Director

  CMS ownership

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1881693794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 86TH ST",
            "address_2": "OFC 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280506",
            "telephone_number": "212-861-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 86TH ST",
            "address_2": "OFC 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280506",
            "telephone_number": "212-861-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCH",
        "first_name": "NATHANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "082711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Wire, PHD
• Lindsey Marie Wirht, LMSW
• Elizabeth Wirth, FNP-BC
• John C Wirth III, M.D.
• Randi E Wirth, PHD
• Peter Wisch, MD
• Cheryl A Wischhover, RN
• Shannon Wischusen
• Wisdom House New York, Inc.
• Wise Body Physical Therapy, PLLC (WiseBody)

• Hematology & Oncology Physician in New York, NY
• Providers in New York, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.