Martin Edmund Wendelken Jr., DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

N004003 Issued in NY

Practice address

1740 Eastchester Rd
Center for Palliative Wound Care
Bronx, NY 10461-2300

Phone

(646) 220-1745

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1902951890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BOULEVARD",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074071343",
            "telephone_number": "646-220-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 EASTCHESTER RD",
            "address_2": "CENTER FOR PALLIATIVE WOUND CARE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612300",
            "telephone_number": "646-220-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDELKEN",
        "first_name": "MARTIN",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N004003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00902612",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanley Joseph Welsh, MD
• Tia Demille Welsh, MD
• Vivian Welton, RPA
• Junkai Wen, MD
• Lijuan Wen, FNP
• Ezequiel Wendichansky, D.M.D
• Lauren Wendt, FNP
• John Michael Wenger II, LCSW
• Brian Wengrover
• Bianca Wentt

• Primary Podiatric Medicine Podiatrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Primary Podiatric Medicine Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.