DR. BRIAN J WALDRON (NPI# 1093785651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093785651 |
| Entity Type | Individual |
| Full Name | DR. BRIAN J WALDRON |
| Credential | DO |
| Practice Address |
61 Broadway Ste 910 New York NY 10006-2736 |
| Practice Telephone | 2123445361 |
| Practice Fax Number | 2125145460 |
| Mailing Telephone | 2123445361 |
| Mailing Fax Number | 2125145460 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 167350 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 1673501 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
61 BROADWAY STE 910 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10006-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033669098 | Jennifer Esplana | Physical Therapist | 61 Broadway, Suite 2824, New York, NY 10006-2701 | 2016-10-13 |
| 1336698968 | Lauro Villegas Jr. | Physical Therapist | 61 Broadway, Suite 2824, New York, NY 10006-2701 | 2016-09-23 |
| 1730545872 | Mansi Shah | Physical Therapist | 61 Broadway, Suite 2824, New York, NY 10006-2701 | 2016-01-05 |
| 1174988380 | Rati Madan | Physical Therapist | 61 Broadway, Suite 2824, New York, NY 10006-2701 | 2015-12-15 |
| 1811398878 | Bethlehem Retta | Speech-Language Pathologist | 61 Broadway, #2824, New York, NY 10006-2701 | 2014-09-09 |
| 1154691681 | Ernest Richard Fabros | Physical Therapist | 61 Broadway, Ste. 2824, New York, NY 10006-2701 | 2011-12-30 |
| 1013291202 | Maithilee Sanjeev Kadam | Physical Therapist | 61 Broadway, Suite 2824, New York, NY 10006-2701 | 2011-10-05 |
| 1225316185 | Tanya Wertentheil | Occupational Therapist | 61 Broadway, Ste. 2824, New York, NY 10006-2701 | 2011-07-26 |
| 1033497946 | Nidhi Nandakumar | Physical Therapist | 61 Broadway, Ste. 2824, New York, NY 10006-2701 | 2011-07-26 |
| 1235422114 | Anna Mason-mackay | Physical Therapist | 61 Broadway, Ste.2824, New York, NY 10006-2701 | 2011-05-25 |
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|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1437626140 | Conscientiamd PC | Psychiatry & Neurology | 115 Broadway Suite 1800 (room 25), New York, NY 10006 | 2018-10-31 |
| 1720563232 | Harveen Kaur | Physical Therapist | 65 Broadway, Ste. 603, New York, NY 10006 | 2018-10-01 |
| 1871032367 | Joanne Herskovits | Speech-Language Pathologist | 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 | 2017-02-16 |
| 1457801318 | Lifetime Physical Therapy | Clinic/Center | 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 | 2016-10-04 |
| 1649647959 | Progyny, Inc. | Exclusive Provider Organization | 1 Liberty Plaza, 47th Floor, New York, NY 10006 | 2015-08-24 |
| 1801207022 | Jane Arkinstall | Social Worker | 39 Broadway Suite 200, Mjhs, New York, NY 10006 | 2014-05-09 |
| 1487077665 | Jacob Perlow Hospice | Medicare Defined Swing Bed Unit | 39 Broadway, Suite 200, Ny, NY 10006 | 2014-01-24 |
| 1003249301 | Calvin C. Krom IIi | Emergency Medicine | 39 Broadway Fl 3, New York, NY 10006 | 2013-08-10 |
| 1740535103 | Carol Lynn Say Tan | Physical Therapist | 61 Broadway Suite 2824, New York, NY 10006 | 2012-07-20 |
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| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205377082 | Hebatallah Rashed | Neuromusculoskeletal Medicine & OMM | 450e, 63rd Street, 9b, New York, NY 10065 | 2017-03-14 |
| 1821402074 | Bethany Prater | Neuromusculoskeletal Medicine & OMM | 32 W 96th St Apt A, New York, NY 10025 | 2014-06-16 |
| 1518308758 | Stasia Blyskal | Neuromusculoskeletal Medicine & OMM | 119 W 57th St Ste 1520, New York, NY 10019-2401 | 2013-07-16 |
| 1841591153 | J.s.k. Medical PC | Neuromusculoskeletal Medicine & OMM | 947 Columbus Ave, 3b, New York, NY 10025-3108 | 2010-11-03 |
| 1356503551 | Spinal Pain Care LLC | Neuromusculoskeletal Medicine & OMM | 47 W 95th St, New York, NY 10025-6753 | 2008-06-28 |
| 1568651198 | Karen Nielsen | Neuromusculoskeletal Medicine & OMM | 260 W Broadway, Suite 2, New York, NY 10013-2259 | 2007-10-19 |
| 1093908659 | Susan Milani | Neuromusculoskeletal Medicine & OMM | 44 E 12th St, Md4, New York, NY 10003-4632 | 2007-08-27 |
| 1538380183 | Mikhail Volokitin | Neuromusculoskeletal Medicine & OMM | 50 W 97th St Apt 1b, New York, NY 10025-6004 | 2007-05-01 |
| 1194843292 | Lisa Meredith Preston | Neuromusculoskeletal Medicine & OMM | 39 West 32nd Street, Suite 1702, New York, NY 10001-0000 | 2007-03-27 |
| 1407909112 | Lillie Michele Rosenthal | Neuromusculoskeletal Medicine & OMM | 250 W 57th St Ste 829, New York, NY 10107-0817 | 2007-01-18 |
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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.