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

Robert Wasiczko, MD

Individual provider Surgery Physician · NPI 1356394191

Robert Wasiczko, MD is a General Surgery in Utica, New York. Qualified in 1986, 40 years ago. Practices with Nathan Littauer Hospital Association, a 94-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
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

1656 Champlin Ave
Utica, NY 13502
Phone: (315) 624-4090
Fax: (315) 624-4095
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 183436 (NY)

Record details

NPI number1356394191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESOctober 6, 2016
Mailing address1656 Champlin Ave., P.O.B., Suite 335, Utica, NY 13502

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Nathan Littauer Hospital Association — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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