Judith Wagman, RN
Registered Nurse in Lynbrook, NY. Individual provider (NPI-1).
NPI number1013204585
StatusActive
Last updated in NPPESJul 6, 2011
Details
- NPI
- 1013204585
- Entity type
- Individual (NPI-1)
- Name
- Judith Wagman
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2011
- Last updated
- Jul 6, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 439009 | NY | Yes |
Practice location
50 BroadwayLynbrook, NY 11563-2519
Phone 516-887-1200
Mailing address
398 Felter AveHewlett, NY 11557-1132
Phone 516-721-5986
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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