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

Q: 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.

Q: What is Douglas Waite's specialty?

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

Q: 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.

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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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