Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ira J Wagner, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1619909512

Ira J Wagner, MD is a Critical Care (Intensivists) in New York, New York. Graduated from State University of New York Downstate Medical Center in 1976, 50 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
50
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

St Vincents Hospital 153 West 11th St
New York, NY 10011
Phone: (212) 604-8336
Fax: (212) 604-8061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 131401 (NY)

Record details

NPI number1619909512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJanuary 31, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1976 (50 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

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