DR. JOHN B WALDMAN (NPI# 1093701815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093701815 |
Entity Type | Individual |
Full Name | DR. JOHN B WALDMAN |
Credential | M.D. |
Practice Address |
47 New Scotland Ave Albany NY 12208-3412 |
Practice Telephone | 5182625088 |
Practice Fax Number | 5182625400 |
Mailing Telephone | 5182625088 |
Mailing Fax Number | 5182625400 |
Enumeration Date | 2005-09-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
138266-1 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00527739 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063506277 | John Louis Waldman | Dentist | 650 Smithfield St, Centre City Tower Suite 1530, Pgh, PA 15222 | 2006-10-03 |
Street Address |
47 NEW SCOTLAND AVE |
City | ALBANY |
State | NY |
Zip Code | 12208-3412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154324184 | Terri Antrenase Williams-weekes | Radiology | 47 New Scotland Ave, Radiology Department, Albany, NY 12208-3412 | 2005-05-23 |
1912508813 | Luke Manecio | Registered Nurse | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-06 |
1891303434 | Hannah Faith Mumford | Nurse Practitioner | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-07-20 |
1073131231 | Rafeh Safdar | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Internal Medicine, Albany, NY 12208-3479 | 2020-07-13 |
1215553474 | Muhammad Taimoor Iftikhar | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2020-06-23 |
1376169672 | Nadia Mackenzie Hill | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-06-23 |
1700408838 | Beltina Guce | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-05-12 |
1417586041 | Christopher Lu | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Internal Medicine, Albany, NY 12208-3412 | 2020-04-06 |
1821626904 | Anicia Monique Ivey | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Family and Community Medicine, Albany, NY 12208 | 2020-04-01 |
1265060677 | Samae S Scott | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Albany, NY 12208-3412 | 2020-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
Find all providers in zip 12208 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659623288 | Jessica Louise Alexandra Mills | Surgery | 47 New Scotland Ave, Mail Code 191, Albany, NY 12208-3412 | 2012-10-05 |
1801954169 | Mary Christina Whyte | Surgery | 50 New Scotland Ave, Mail Code 191, Albany, NY 12208-3403 | 2006-12-05 |
1942387840 | Cynthia Ann Corpron | Surgery | 47 New Scotland Ave, Albany, NY 12208-3412 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972154243 | Andrea Volpe | Surgery | 504 E 63rd St Apt 17n, New York, NY 10065-7920 | 2019-09-26 |
1225388416 | Lucas Krauel | Surgery | 404 E 66th St Apt 1e, New York, NY 10065-9309 | 2012-09-14 |
1780983460 | Jun Tashiro | Surgery | 530 1st Ave Ste 10w, New York, NY 10016-6402 | 2011-03-21 |
1497914675 | Brian Arrinza Coakley | Surgery | 5 East 98th Street Box 1259, Department of Surgery Mount Sinai School of Medicine, New York, NY 10029 | 2008-06-03 |
1164691457 | Oliver Hans-josef Hans-josef Muensterer | Surgery | Mfch, Munger Pavillion, Room 321, Valhalla, NY 10595 | 2008-02-21 |
1942355698 | Stephen Dolgin | Surgery | Lij Dept of Surgery Pediatric Surgery, 269 01 76th Avenue, New Hyde Park, NY 11040 | 2007-01-24 |
1093875114 | Samuel Soffer | Surgery | Lijmc Dept of Surgery Peds Surgery, 270 05 76th Avenue, New Hyde Park, NY 11040 | 2006-12-11 |
1023182649 | Radhakrishman Satheesan | Surgery | 921 49th St, Brooklyn, NY 11219-2923 | 2006-11-17 |
1922178375 | Richard Glick | Surgery | Schneider Children Hospital, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
1134201304 | Scott J Boley | Surgery | Div. of Pediatric Surgery, 3355 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-19 |
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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.