DR. GLORIA DIANA WISEMAN (NPI# 1821162801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821162801 |
| Entity Type | Individual |
| Full Name | DR. GLORIA DIANA WISEMAN |
| Credential | M.D. |
| Practice Address |
570 Fort Washington Ave New York NY 10033-2054 |
| Mailing Address |
69 Edgemont Place Teaneck NJ 07666-4605 |
| Practice Telephone | 2127953293 |
| Practice Fax Number | 2127953164 |
| Mailing Telephone | 2018379918 |
| Mailing Fax Number | 2018379936 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MA47936 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
151187 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5114900 | 05 | |
| NY | 00848417 | 05 |
| Street Address |
570 FORT WASHINGTON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10033-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831452960 | Robyn Klimpl Miller | Specialist | 570 Fort Washington Ave, 22b, New York, NY 10033-2054 | 2012-06-22 |
| 1740355650 | Susan Jean Razavi | Social Worker | 570 Fort Washington Ave, Apt 64a, New York, NY 10033-2054 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046940 | William F Ryan Community Health Center Inc | Clinic/Center | 154 Wadsworth Avenue, New York, NY 10033 | 2020-09-01 |
| 1063048627 | Lori Cinar | Speech-Language Pathologist | 544 Fort Washington Avenue, New York, NY 10033 | 2020-03-16 |
| 1245885953 | Beth Feldman | Occupational Therapist | 93 Bennett Ave, New York, NY 10033 | 2019-08-08 |
| 1053971903 | Daniel Harmeyer | Registered Nurse | 560 W 168th St, New York, Ny 10032, New York, NY 10033 | 2019-06-13 |
| 1770141038 | Rio Espiritu | Physical Therapist | 601 West 182nd.street, New York, NY 10033 | 2019-06-03 |
| 1154986255 | Gira Ileana Graciano Mireles | Student in an Organized Health Care Education/Training Program | 355 Bart Avenue, Department of Medicine Villa Bldg 1st Floor, New York, NY 10033 | 2019-05-03 |
| 1386140812 | Han Acupuncture | Acupuncturist | 701 W 177th Street, Suite 001, New York, NY 10033 | 2018-04-03 |
| 1023524956 | Kyong Su Han | Acupuncturist | 701 West 177th St, #001, New York, NY 10033 | 2017-12-14 |
| 1609380336 | Divine Luxury Transportation Inc | Non-emergency Medical Transport (VAN) | 360 Audubon Avenue, New York, NY 10033 | 2017-11-16 |
| 1174042683 | Kseniya Yershova | Psychologist | 66 Pinehurst Ave, 1a, New York, NY 10033 | 2017-09-15 |
| Find all providers in zip 10033 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740547421 | Matthew Smith-raska | Pediatrics | 525 E 68th St Rm N-506, New York, NY 10065-4870 | 2012-04-18 |
| 1376809343 | Leah I Elizondo | Pediatrics | 420 E 70th St Apt 9g, New York, NY 10021-5320 | 2012-04-04 |
| 1033353610 | Kathleen Brennan | Pediatrics | 321 W 90th St Apt 2b, New York, NY 10024-1626 | 2009-04-27 |
| 1912148040 | Heideh Husseinzadeh Matterson | Pediatrics | 550 First Ave., Nyu Langone Medical Center, New York, NY 10016 | 2009-03-19 |
| 1154581254 | Catherine L Chang | Pediatrics | 525 E. 68th Street, N-506, Division of Newborn Medicine, New York, NY 10065 | 2008-06-11 |
| 1588782262 | Thomas Patrick Hartigan | Pediatrics | Saint Vincent's Hospital Manhattan, 170 West 12th Street, New York, NY 10011 | 2007-03-27 |
| 1043307135 | William Frayer | Pediatrics | 505 E 70th St # Ht-502, New York, NY 10021-4872 | 2006-10-09 |
| 1285663609 | Eric B Mallow | Pediatrics | 235 W 102nd St, New York, NY 10025-8400 | 2006-06-30 |
| 1851368823 | Marianne Garland | Pediatrics | Columbia Unversity Department Pediatrics, 3959 Broadway, New York, NY 10032 | 2006-03-08 |
| 1700852555 | Christiana Rita Farkouh | Pediatrics | Columbia University Departmt Pediatrics, 3959 Broadway, New York, NY 10032 | 2006-02-23 |
| Find all providers in NEW YORK | ||||
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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.