Jerzy Wawerski, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

204587 Issued in NY

Practice address

1029 Manhattan Ave
Brooklyn, NY 11222-5840

Phone

(718) 383-3377

Fax

(718) 383-3606

NPI assigned

Jan 11, 2006

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

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: jerzy.wawerski@forestm.ehi.direct-ci.com

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.

• Forest Medcare P.C.

  • Legal Medicine
  • Brooklyn, NY
  • NPI 1346312584
  NPD (past) Authorized official
• Forest Medcare P.C.

  • Legal Medicine
  • Ridgewood, NY
  • NPI 1790856938
  NPD (past) Authorized official
• Jeremiah M Gelles, MD PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1952723017
  NPD (past)
• Prohealth Care Associates LLP

  • Internal Medicine Physician
  • Lake Success, NY
  • NPI 1275596280
  NPD (past)
• Prohealth Care Associates, LLP

  • Physical Therapist
  • Carmel, NY
  • NPI 1508324898
  NPD (past)
• United Medical Associates,PLLC

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1508994187
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922087758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095707",
            "telephone_number": "718-748-2900",
            "fax_number": "718-748-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112225840",
            "telephone_number": "718-383-3377",
            "fax_number": "718-383-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWERSKI",
        "first_name": "JERZY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "204587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02131684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wattoo Corporation
• Dawn Watts, CASAC
• Dawn Watts, LPN
• Karen Watts, R.T
• Linda Watts
• Miriam Wax, PMHNP
• Chanie Waxler
• Esther Waxler
• Mirel Waxler
• Rivka Waxler

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.