Individual provider Active NPI

Peter N Waxman, MD

  • Neuroradiology Physician
  • Brewster, NY
National Provider Identifier
1962484394
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
153566 Issued in NY
Practice address
3839 Danbury Rd
Northeast Radiology
Brewster, NY 10509
Phone
(845) 278-6200
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 153566 NY Primary
Nuclear Radiology Physician 2085N0904X 153566 NY
Pediatric Radiology Physician 2085P0229X 153566 NY
Diagnostic Radiology Physician 2085R0202X 153566 NY
Diagnostic Ultrasound Physician 2085U0001X 153566 NY

Addresses

Primary practice location

3839 Danbury Rd
Northeast Radiology
Brewster, NY 10509

Mailing address

3839 Danbury Rd
Northeast Radiology
Brewster, NY 10509
Phone (845) 278-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040123000360 CT Practitioner - Diagnostic Radiology 9032011689 Reassigns benefits to 6 organizations
I20050419000372 NY Practitioner - Diagnostic Radiology 9032011689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naugatuck Valley MRI LLCGroup PAC ID 2668367756, 7 clinicians
Diagnostic Imaging Associates LLCGroup PAC ID 0143127241, 10 clinicians
Prospect Diagnostic ImagingGroup PAC ID 0244137214, 10 clinicians
Northeast Radiology PCGroup PAC ID 7315838448, 12 clinicians
Diagnostic Imaging of SouthburyGroup PAC ID 0143127548, 11 clinicians
Naugatuck Valley Radiological Associates PCGroup PAC ID 5092600189, 12 clinicians

Practice addresses (Care Compare)

1389 W Main St
Waterbury, CT 06708-3104
Phone 20326479991130

1389 W Main St
Waterbury, CT 06708-3115
Phone (203) 574-1311

166 Waterbury Rd
Prospect, CT 06712-1200
Phone (203) 758-7700

3839 Danbury Rd
Brewster, NY 10509-5412
Phone (845) 278-6200

385 Main St S
Southbury, CT 06488-4240
Phone (203) 264-7999

385 Main St S
BLDG 1
Southbury, CT 06488-4246
Phone (203) 267-5114

60 Old New Milford Rd
Suite 2a
Brookfield, CT 06804-2434
Phone (203) 780-7012

Hospital & facility affiliations

  • Saint Mary'S Hospital Hospital, Waterbury, CT, CCN 070016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Diagnostic Imaging CurrentSince Aug 1, 2025 Accepting new patients
Northeast Radiology PC Diagnostic Radiology CurrentSince Nov 1, 1999 Accepting new patients
Naugatuck Valley MRI LLC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Northeast Radiology PC Diagnostic Radiology CurrentSince Nov 1, 1999 Accepting new patients
Diagnostic Imaging of Southbury CurrentSince Dec 1, 2003 Accepting new patients
Naugatuck Valley Radiological Associates PC Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
Diagnostic Imaging Associates LLC CurrentSince Aug 1, 2025 Accepting new patients
Northeast Radiology of Connecticut, LLC Past Accepting new patients
Northeast Radiology PC Diagnostic Radiology Past Accepting new patients
Naugatuck Valley Computerized Imaging Past Accepting new patients

Locations

60 Old New Milford Rd
Ste 2A
Brookfield, CT 06804
Phone (203) 350-6999

40 Old Ridgebury Rd
Ste 103
Danbury, CT 06810
Phone (203) 350-4005

67 Sand Pit Rd
Ste 105
Danbury, CT 06810
Phone (203) 797-1770

67 Sand Pit Rd
Ste 101
Danbury, CT 06810
Phone (203) 797-1770

67 Sand Pit Rd
Danbury, CT 06810
Phone (203) 792-2003

166 Waterbury Rd
Prospect, CT 06712
Phone (203) 264-7999

385 Main St S
Bldg 1
Southbury, CT 06488
Phone (203) 264-7999

385 Main St S
Southbury, CT 06488
Phone (203) 264-7999

1389 W Main St
Waterbury, CT 06708
Phone (203) 264-7999

3839 Danbury Rd
Brewster, NY 10509
Phone (845) 278-6200

3630 Hill Blvd
Ste 102
Jefferson Vly, NY 10535
Phone (914) 245-8181

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

666 Lexington Ave
Mount Kisco, NY 10549
Phone (914) 666-5125

Organizations & group practices 11

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 1

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962484394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 DANBURY RD",
            "address_2": "NORTHEAST RADIOLOGY",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "10509",
            "telephone_number": "845-278-6200",
            "fax_number": "845-278-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 DANBURY RD",
            "address_2": "NORTHEAST RADIOLOGY",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "10509",
            "telephone_number": "845-278-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "PETER",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "153566",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NY",
            "license": "153566",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NY",
            "license": "153566",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "153566",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "153566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.