DEBRA J. WATTENBERG, M.D.,P.C
NPI 1740455765
Legal Medicine in New York, NY

Q: What is Debra J. Wattenberg, M.D.,p.C's NPI number?

The NPI number for Debra J. Wattenberg, M.D.,p.C is 1740455765. It was assigned to this organization in the NPPES registry on April 30, 2008.

Q: What is Debra J. Wattenberg, M.D.,p.C's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since April 30, 2008

875 5TH AVE, 69TH ST, 2B, NEW YORK, NY 10065(212) 288-3200(212) 288-3226 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Debra J. Wattenberg, M.d.,p.c NPPES

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

DEBRA J. WATTENBERG, M.D.,P.C (NPI 1740455765) is a healthcare organization registered as a legal medicine in New York, New York and active in the NPI registry since April 2008. The organization lists Debra Joy Wattenberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1740455765

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameDEBRA J. WATTENBERG, M.D.,P.C

Location Address875 5TH AVE, 69TH ST, 2BNew York, NY 10065-4952

Mailing Address875 5th Ave, 69th St, 2bNew York, NY 10065-4952 · (212) 288-3200 · Fax (212) 288-3226

Phone(212) 288-3200

Fax(212) 288-3226

Organization SubpartNo

Authorized OfficialDebra Joy WattenbergOwner · (212) 288-3200

Enumeration DateApril 30, 2008

✔ NPI 1740455765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in NY · 178869

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

875 5TH AVE, New York, NY 10065

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Other Identifiers 1

Medicare UPINF21228NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Debra J. Wattenberg, M.d.,p.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Debra J. Wattenberg, M.D.,p.C, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jamie Manning

Dermatology

NPI 1578919858

1056 5TH AVE
New York, NY 10028

(917) 757-8747

✔ PECOS0.9 mi

Ilyse Lefkowicz, M.D.

Dermatology

NPI 1164432043

106 GRAND AVE
Englewood, NJ 07631

(201) 567-8884

✔ PECOS✔ Accepts Medicare8.3 mi

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

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 Debra J. Wattenberg, M.D.,p.C's NPI number?

The NPI number for Debra J. Wattenberg, M.D.,p.C is 1740455765. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Debra J. Wattenberg, M.D.,p.C located?

Debra J. Wattenberg, M.D.,p.C is located at 875 5th Ave 69th St, 2B, New York, NY 10065. The listed phone number is (212) 288-3200.

What is Debra J. Wattenberg, M.D.,p.C's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Debra J. Wattenberg, M.D.,p.C enrolled in Medicare?

Yes. Debra J. Wattenberg, M.D.,p.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Debra J. Wattenberg, M.D.,p.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Debra J. Wattenberg, M.D.,p.C. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Debra J. Wattenberg, M.D.,p.C was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.