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MR. ROBERT ANTHONY WISNIEWSKI AGNP-C
NPI 1649040320
Nurse Practitioner - Adult Health in Manhasset, NY

Active since January 04, 2024PECOS Enrolled
400 COMMUNITY DR, MANHASSET, NY 11030(516) 472-5800 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Jan 5, 2024 (2 updates tracked since 2024).

About Mr. Robert Anthony Wisniewski Agnp-c NPPES

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

MR. ROBERT ANTHONY WISNIEWSKI AGNP-C (NPI 1649040320) is an individual adult health provider in Manhasset, New York, licensed in New York (F311349) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Manhasset.

NPPES Registry Identity

NPI1649040320
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. ROBERT ANTHONY WISNIEWSKICredential: AGNP-C
Location Address400 COMMUNITY DRManhasset, NY 11030-3815
Mailing Address400 Community DrManhasset, NY 11030-3815 · (516) 424-0029
Phone(516) 472-5800
Sole ProprietorYes
Enumeration DateJanuary 4, 2024
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1649040320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F311349
400 COMMUNITY DR, Manhasset, NY 11030
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Community DrManhasset, NY 11030-3816 · Phone (833) 454-8377

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert Anthony Wisniewski Agnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHN ELLIOT GUIDO
Student in an Organized Health Care Education/Training Program
400 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-1300
RADICA PALMER
Nurse Practitioner (Adult Health)
400 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-2082
VALERIE LEVRANT
Student in an Organized Health Care Education/Training Program
400 COMMUNITY DR, NORTHWELL HEALTH, NSLIJ, DEPT. OF DENTAL MEDICINE
MANHASSET, NY 11030
Nassau County (718) 470-4120
IDA DANCYGER MD
Psychologist (Psychoanalysis)
400 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-3260
DR. JAMES SUNGSIK PARK MD
Internal Medicine (Transplant Hepatology)
400 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 472-5805
MADELEINE JEAN QUINN RDN
Dietitian, Registered
400 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-4276
DR. TANIA M. WINBERRY D.D.S.
Dentist (General Practice)
400 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-1300
PAUL J MATTIS PHD
Clinical Neuropsychologist
400 COMMUNITY DR
MANHASSET, NY 11030
Nassau County (516) 562-3054

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 Robert Wisniewski's NPI number?

The NPI number for Robert Wisniewski is 1649040320. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Robert Wisniewski located?

Robert Wisniewski practices at 400 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 472-5800.

What is Robert Wisniewski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Robert Wisniewski enrolled in Medicare?

Yes. Robert Wisniewski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Wisniewski was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.