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Deactivated NPI 1740274141 Deactivated / Inactive NPI Male Practitioner

Dr. Ira P Woletsky , MD

Pediatrics • West Islip, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ira Woletsky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2005
NPI Deactivation Date January 03, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Ira Woletsky, MD was a registered Pediatrics practicing in West Islip, NY. Throughout an active medical career spanning 19 years, Dr. Woletsky provided care at the practice location at 1111 MONTAUK HWY until profile deactivation on 2024-01-03.

Practice Location & Contact Primary Location

Practice Address

1111 Montauk Hwy

West Islip, NY 117954910

Telephone 6316612520
Fax 6316696502
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in West Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
32 Specialists

Practicing in West Islip, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 158482

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Katharine Cronin , MS, MPH, CPNP

Nurse Practitioner - Pediatrics

NPI 1316298375

Master of Science, Master of Public Health, Certified Pediatric Nurse Practitioner

NPI 1457345860

Doctor of Medicine (M.D.)

NPI 1558503466

Doctor of Medicine (M.D.)

NPI 1902890106

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 03, 2024

Record deactivated on January 03, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1111 MONTAUK HWY, WEST ISLIP, NY 117954910 (Tel: 6316612520)

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Updated Business Mailing Address July 08, 2007

Registered at 1111 MONTAUK HWY, WEST ISLIP, NY 117954910 (Tel: 6316612520)

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Provider Name / Credentials Updated July 08, 2007

Recorded as IRA WOLETSKY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #158482 in NY)

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Initial NPI Registration & Enumeration August 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740274141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2005
Last Update: July 08, 2007
Deactivation Date: January 03, 2024

Mailing Address

1111 Montauk Hwy

West Islip, NY 117954910

Phone: 6316612520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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