Paul Michael Wachtel

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1664 E 14TH St FL 5
Brooklyn, NY 11229-1155

Phone

(929) 273-7601

NPI assigned

Oct 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1932823879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 80TH ST # 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141843",
            "telephone_number": "718-915-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 E 14TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291155",
            "telephone_number": "929-273-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTEL",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Wachsler
• Baila Wachsman, FNP-C
• Rachel Wachsman
• Jerry C. Wachtel, M.D.
• Jessica Addi Wachtel, MD
• Ruby Marcia Wachtel, NURSE PRACTITIONER
• Kimberly Wachter
• Judith Wackman-Williams, PMHNP
• Aretha Wade, M.S.E.D
• Debra Wade, L.C.S.W.

• Peer Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.