ESCALES MEDICAL ASSOCIATES AT WAYNE LLC NPI 1780153338

NPI Information

NPI: 1780153338
Provider Name: ESCALES MEDICAL ASSOCIATES AT WAYNE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 31D2183191

Address:
342 HAMBURG TPKE STE 101
WAYNE, NJ
ZIP 07470
Phone: (973) 942-4140
Get Directions

ESCALES MEDICAL ASSOCIATES AT WAYNE LLC is a multi-specialty clinic center in Wayne, NJ. ESCALES MEDICAL ASSOCIATES AT WAYNE LLC NPI is 1780153338. The provider is registered as an organization entity type.

The provider's business location address is:

342 HAMBURG TPKE STE 101
WAYNE, NJ
ZIP 07470-166
Phone: (973) 942-4140
Fax: (973) 942-5070

The provider's authorized official is Ghassan Louis Wardeh .
The authorized official title is Pcp/pulmonologist/sleep Specialist and has the following contact phone number (973) 942-4140.

The CLIA number assigned to this NPI record is 31D2183191 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 4/5/2021.

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	261QM1300X	Clinic/Center	Multi-Specialty			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	P616-3453	OTHER	NEW JERSEY	OXFORD
2	1997788	OTHER	NEW JERSEY	WELLCARE
3	60420852	OTHER	NEW JERSEY	HORIZON NJ HEALTH
4	758490	OTHER	NEW JERSEY	MEDICARE
5	PBS004295675	OTHER	NEW JERSEY	AMERIHEALTH
6	07135891	OTHER	NEW JERSEY	AMERIGROUP
7	00040117774	OTHER	NEW JERSEY	UHC
8	6149915	OTHER	NEW JERSEY	AETNA
9	PBS4295675	OTHER	NEW JERSEY	AMERIHEALTH

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

NPI Synchronization or Removal

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