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DOUGLAS WAITE MD
NPI 1154496057
Pediatrics - Developmental - Behavioral Pediatrics in Bronx, NY

Active since November 24, 2006PECOS Enrolled
1650 GRAND CONCOURSE, BRONX, NY 10457(718) 992-7669 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Douglas Waite Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS WAITE MD (NPI 1154496057) is an individual developmental - behavioral pediatrics provider in Bronx, New York, licensed in New York (194142) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dobbs Ferry.

NPPES Registry Identity

NPI1154496057
Entity TypeIndividualMale
Primary Taxonomy2080P0006X
Provider Legal NameDOUGLAS WAITECredential: MD
Location Address1650 GRAND CONCOURSEBronx, NY 10457
Mailing Address1650 Grand ConcourseBronx, NY 10457
Phone(718) 992-7669
Sole ProprietorYes
Enumeration DateNovember 24, 2006
Last NPPES UpdateJune 3, 2022
NPPES CertifiedMay 23, 2022
✔ NPI 1154496057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in NY · 194142
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License 194142 (NY)
1650 GRAND CONCOURSE, Bronx, NY 10457
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Secondary Practice Location 1

Location 1Children's Village, Echo HillsDobbs Ferry, NY 10128-0132 · Phone (914) 693-0600 ext. 1445

Other Identifiers 1

Medicaid01566343NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Waite Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Douglas Waite reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bronxcare Health System
Same address
Internal Medicine
1650 GRAND CONCOURSE
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
NPI 1245390855 (718) 901-8600
Physician Affiliate Group Of New York PC
2.5 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIE LAUREN GREEN M.S., CCC-SLP
Speech-Language Pathologist
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (201) 281-3781
ARAMARK
Clinic/Center
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (646) 641-7427
MAY YEE HELMAN M.D.
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
ANDREA ELIZABETH SPIEKHOUT D.O.
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
VINCENT SETIAWAN PRAWOKO MD
Student in an Organized Health Care Education/Training Program
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (347) 601-1241
HAIDER GHAZANFAR
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (917) 856-6383
MATTHEW PEACHEY MD
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
TRACY RAU MD
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 590-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Waite's NPI number?

The NPI number for Douglas Waite is 1154496057. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Douglas Waite located?

Douglas Waite practices at 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 992-7669.

What is Douglas Waite's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Douglas Waite enrolled in Medicare?

Yes. Douglas Waite is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Waite's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Waite reassigns Medicare benefits to 2 organizations: Bronxcare Health System (Bronx, NY) and Physician Affiliate Group Of New York PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Waite's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Waite was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.