DR. JOHN D WAGNER


Address: 451 Clarkson Ave Rm B-1147, Kings County Hospital Center, Brooklyn, NY 11203-2054
Phone: 7182453921

DR. JOHN D WAGNER (NPI# 1033262340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033262340
Entity Type Individual
Full Name DR. JOHN D WAGNER
Credential MD, MBA
Practice Address 451 Clarkson Ave Rm B-1147
Kings County Hospital Center
Brooklyn
NY 11203-2054
Practice Telephone 7182453921
Practice Fax Number 7182455347
Mailing Telephone 7182453921
Mailing Fax Number 7182455347
Enumeration Date 2007-01-19
Last Update Date 2014-03-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
140277 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00837072 05

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Office Location

Street Address 451 CLARKSON AVE RM B-1147
KINGS COUNTY HOSPITAL CENTER
City BROOKLYN
State NY
Zip Code 11203-2054

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615747 Winnie Ming Wong Dance Therapist 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 2020-10-06
1174134803 Jermiah Jonoah Jones Social Worker 307 E 54th St, 3, Brooklyn, NY 11203 2020-08-14
1780201566 Jesvin Jeyapaulraj Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 2020-06-29
1881219731 Natasha Thomas Specialist 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 2020-06-16
1679197396 Syed Hamza Bin Waqar Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 2020-05-29
1013536846 Isaak Rubinov Student in an Organized Health Care Education/Training Program 91 E 39th St, Brooklyn, NY 11203 2020-04-12
1932733615 Shade Celestine Specialist 293 East53rd Street, Brooklyn, NY 11203 2020-03-03
1023656147 Shenez Brutus Nurse Practitioner Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 2019-12-19
1215586425 Terry-ann Lee Registered Nurse 440 East 45th Street, Kings, NY 11203 2019-09-10
1568023828 Mmeyeneabasi David Omede Student in an Organized Health Care Education/Training Program 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 2019-06-26
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1598035081 Li Yang Internal Medicine 849 57th St Ste 7, Brooklyn, NY 11220-3798 2011-12-30
1184913063 Svetlana Pyatigorskaya Internal Medicine 770 Flatbush Ave, Brooklyn, NY 11226-1902 2011-03-31
1558677054 Lutfi Alasadi Internal Medicine One Brookdale Plaza, Room 169 Chc, Brooklyn, NY 11212 2010-08-23
1891010641 Sine Akten Internal Medicine 9995 Shore Rd Apt 18e, Brooklyn, NY 11209-8260 2010-04-05
1538391685 Shore Front LLC Internal Medicine 2511 Ocean Avenue, Brooklyn, NY 11229 2009-08-21
1639300981 Sein Yin See Internal Medicine 7261 Shore Rd Apt 6x, Brooklyn, NY 11209-1846 2009-08-04
1164664652 Evergreen Medical Pllc Internal Medicine 755-759 61st Street, Brooklyn, NY 11220-4211 2009-03-30
1528254067 Alan L Nissenbaum Medical Services PC Internal Medicine 3915 Avenue V # 104, Brooklyn, NY 11234-5156 2007-09-19
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Competitor

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City BROOKLYN
Zip Code 11203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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