Provider Demographics
NPI:1043209232
Name:WALDMAN, JOSHUA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:WALDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 MARKET ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-7602
Mailing Address - Country:US
Mailing Address - Phone:914-831-6830
Mailing Address - Fax:914-831-6831
Practice Address - Street 1:73 MARKET ST
Practice Address - Street 2:SUITE 212
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7602
Practice Address - Country:US
Practice Address - Phone:914-831-6830
Practice Address - Fax:914-831-6831
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198355207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG59501Medicare UPIN
NY19X821Medicare PIN
NY5731517OtherAETNA PPO #
NY0203459OtherGHI PPO #
NY198355OtherHIP #
NYP678350OtherOXFORD #
NY132666622OtherTAX IDENTIFICATION #
NY474D53OtherEMPIRE BCBS # (SCARSDALE)
NY000000076509OtherGHI HMO #
NYG59501Medicare UPIN
NY2646649OtherAETNA HMO #
NY19X821Medicare PIN