PULMONARY MEDICINE OF WAYNE PC NPI 1265656615

NPI Information

NPI: 1265656615
Provider Name: PULMONARY MEDICINE OF WAYNE PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 31D2204029

Address:
508 HAMBURG TPKE
SUITE 202
WAYNE, NJ
ZIP 07470
Phone: (973) 956-1404
Get Directions

PULMONARY MEDICINE OF WAYNE PC is a pulmonary disease internal medicine in Wayne, NJ. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PULMONARY MEDICINE OF WAYNE PC NPI is 1265656615. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

508 HAMBURG TPKE
SUITE 202
WAYNE, NJ
ZIP 07470-482
Phone: (973) 956-1404
Fax: (973) 956-1646

The provider's authorized official is Liviu Rappaport .
The authorized official title is Owner and has the following contact phone number (973) 956-1404.

The CLIA number assigned to this NPI record is 31D2204029 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	MA57242	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	068158	MEDICAID	NEW JERSEY
2	2720576000	OTHER	NEW JERSEY	AMERIHEALTH
3	AMERIGROUP	OTHER	NEW JERSEY	AMERIGROUP
4	2720576004	OTHER	NEW JERSEY	AMERIHEALTH
5	2K2751	OTHER	NEW JERSEY	HEALTHNET
6	J5518	OTHER	NEW JERSEY	HORIZON HMO BLUE
7	P782845	OTHER	NEW JERSEY	OXFORD
8	3060227	OTHER	NEW JERSEY	AETNA
9	9C1761	OTHER	NEW JERSEY	WELLCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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