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DR. GLORIA DIANA WISEMAN M.D.
NPI 1821162801
Pediatrics - Neonatal-Perinatal Medicine in New York, NY

Active since November 20, 2006PECOS Enrolled
570 FORT WASHINGTON AVE, NEW YORK, NY 10033(212) 795-3293(212) 795-3164 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gloria Diana Wiseman M.d. NPPES

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

DR. GLORIA DIANA WISEMAN M.D. (NPI 1821162801) is an individual neonatal-perinatal medicine provider in New York, New York, licensed in New York (151187) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821162801
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. GLORIA DIANA WISEMANCredential: M.D.
Location Address570 FORT WASHINGTON AVENew York, NY 10033-2054
Mailing Address69 Edgemont PlaceTeaneck, NJ 07666-4605 · (201) 837-9918 · Fax (201) 837-9936
Phone(212) 795-3293
Fax(212) 795-3164
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1821162801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in NY · 151187✔ Licensed in NJ · MA47936
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
570 FORT WASHINGTON AVE, New York, NY 10033
Open in Google Maps ↗

Other Identifiers 4

Medicaid5114900NJ
Medicare ID-Type UnspecifiedWI 720450
Medicaid00848417NY
Medicare UPINB12542NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gloria Diana Wiseman M.d. 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 Reassignment

Medicare enrollment records show Gloria Wiseman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trustees Of Columbia University In The City Of New York
0.9 mi
Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1508266347 (646) 317-7111

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 2

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

SUSAN JEAN RAZAVI LCSW-R
Social Worker (Clinical)
570 FORT WASHINGTON AVE, APT 64A
NEW YORK, NY 10033
New York County (646) 942-8705
MS. ROBYN KLIMPL MILLER
Behavior Analyst
570 FORT WASHINGTON AVE, 22B
NEW YORK, NY 10033
New York County (917) 750-1211

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 Gloria Wiseman's NPI number?

The NPI number for Gloria Wiseman is 1821162801. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Gloria Wiseman located?

Gloria Wiseman practices at 570 Fort Washington Ave, New York, NY 10033. The listed phone number is (212) 795-3293.

What is Gloria Wiseman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Gloria Wiseman enrolled in Medicare?

Yes. Gloria Wiseman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gloria Wiseman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Wiseman reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). The 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 Gloria Wiseman'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 Gloria Wiseman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.