WILLO WISOTSKY PH.D.
NPI 1265679039
Psychologist - Health in Commack, NY
About Willo Wisotsky Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLO WISOTSKY PH.D. (NPI 1265679039) is an individual health provider in Commack, New York, licensed in New York (016173) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Willo Wisotsky Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Willo Wisotsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roslyn Heights, NY 11577
- Reassigned Medicare billing, Connecticut and New York enrollments
- 30 clinicians in this Medicare group
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 41 clinicians in this Medicare group
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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COMMACK, NY 11725
COMMACK, NY 11725
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 Willo Wisotsky's NPI number?
The NPI number for Willo Wisotsky is 1265679039. It was assigned to this individual provider in the NPPES registry on January 14, 2009.
Where is Willo Wisotsky located?
Willo Wisotsky practices at 35 Crooked Hill Rd Suite 203, Commack, NY 11725. The listed phone number is (631) 804-8830.
What is Willo Wisotsky's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.
Is Willo Wisotsky enrolled in Medicare?
Yes. Willo Wisotsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Willo Wisotsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Willo Wisotsky reassigns Medicare benefits to 2 organizations: New York Bariatric Surgery Group PLLC (Roslyn Heights, NY) and Premier Bariatric New Jersey PC (Wayne, NJ). 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 Willo Wisotsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Willo Wisotsky accept?
Health plans from Anthem Blue Cross and Blue Shield and Oscar Health list Willo Wisotsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Willo Wisotsky was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Willo Wisotsky, PH.D. · NPI 1265679039
Health provider in Commack, New York. Individual provider, active in the CMS NPPES registry since January 14, 2009.
## Identity
- **NPI:** 1265679039 (Entity type: Individual)
- **Enumerated:** January 14, 2009
- **Primary specialty:** Psychologist - Health · taxonomy 103TH0004X
- **State license:** 016173 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 35 CROOKED HILL RD, SUITE 203, Commack, NY 11725
- **Phone:** (631) 804-8830
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): New York Bariatric Surgery Group PLLC (NPI 1164898821, Roslyn Heights, NY); Premier Bariatric New Jersey PC (NPI 1548735145, Wayne, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** September 6, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1265679039) · Data from the CMS NPPES public registry.