DISPATCHHEALTH NJ WAGNER PC (NPI# 1124630975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124630975 |
| Entity Type | Organization |
| Organization Name | DISPATCHHEALTH NJ WAGNER PC |
| Practice Address |
50 Tice Blvd Ste A35 Woodcliff Lake NJ 07677-7681 |
| Mailing Address |
3455 Ringsby Ct Ste 102 Denver CO 80216-4923 |
| Practice Telephone | 3035001518 |
| Mailing Telephone | 7204808088 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | ANDREW JAMES WAGNER (OWNER) |
| Authorized Official Telephone | 6142264921 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | DISPATCHHEALTH NJ WAGNER PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DispatchHealth Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447716873 | Dispatchhealth Nj Wagner PC | Emergency Medicine | 250 Pehle Ave Ste 200, Saddle Brook, NJ 07663-5835 | 2019-02-11 |
| Street Address |
50 TICE BLVD STE A35 |
| City | WOODCLIFF LAKE |
| State | NJ |
| Zip Code | 07677-7681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801238605 | Rachel Ann Herron | Social Worker | 5 Pascack Road, Woodcliff Lake, NJ 07677 | 2013-07-22 |
| 1023306982 | Eleanor M Van Wyk | Surgery | 106 Werimus Rd, Woodcliff Lake, NJ 07677 | 2011-07-13 |
| 1417111055 | Donald Ray Caine | Dentist | 99 Winding Way, Woodcliff Lake, NJ 07677 | 2008-07-14 |
| 1649450685 | William E Kurylo | Dentist | 39 Woodcliff Ave, Woodcliff Lake, NJ 07677 | 2007-11-07 |
| 1689881385 | Jeffrey M Davis | Chiropractor | 52 Heritage Ct., Woodcliff Lake, NJ 07677 | 2007-05-16 |
| 1861529851 | Zahida Nagy | Psychologist | 14 Kinderkamaek Road, Woodcliff Lake, NJ 07677 | 2007-02-27 |
| 1508905605 | Rachela Marie Paul | Social Worker | 23 Marz Drive, Woodcliff Lake, NJ 07677 | 2007-02-05 |
| 1831261585 | Wendi L Polhemus | Chiropractor | 21 Broadway, Suite E, Woodcliff Lake, NJ 07677 | 2006-11-15 |
| 1801979752 | Mahmood M Karimi | Family Medicine | 50 Kinderkamack Road, Woodcliff Lake, NJ 07677 | 2006-10-23 |
| 1205931268 | Alison Strasser Winston | Psychologist | 50 Tice Blvd Ste 340, Woodcliff Lake, NJ 07677 | 2006-09-14 |
| Find all providers in zip 07677 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850094 | New Altermatives, LLC | Emergency Medicine | 1395 Route 539, Little Egg Harbor Twp, NJ 08087-9770 | 2020-10-31 |
| 1780249987 | New Dawn Wellness and Rehab Center, LLC | Emergency Medicine | 1990 Marlton Pike E Ste 2b, Cherry Hill, NJ 08003-1836 | 2019-05-03 |
| 1184114431 | Jude Mele | Emergency Medicine | 1 Robert Wood Johnson Pl # 338a, New Brunswick, NJ 08901-1928 | 2018-05-12 |
| 1073020269 | Richard Barnett | Emergency Medicine | 1 Robert Wood Johnson Pl Meb 104, New Brunswick, NJ 08901 | 2018-01-09 |
| 1790290740 | Donard Scott Smith | Emergency Medicine | 139 Elmwood Ave, Ho Ho Kus, NJ 07423-1503 | 2017-12-12 |
| 1831617257 | Medexpress Urgent Care - New Jersey, Inc | Emergency Medicine | 10 Cornwell Drive, Bridgeton, NJ 08302-3633 | 2017-09-06 |
| 1205353471 | Medexpress Urgent Care - New Jersey, Inc | Emergency Medicine | 1919 Nj Route 35, Suite 100, Wall, NJ 07719-3512 | 2017-08-28 |
| 1922523802 | Adnan Riaz | Emergency Medicine | 1 Robert Wood Johnson Pl Bldg Room388a, New Brunswick, NJ 08901-1928 | 2017-08-11 |
| 1154843928 | Michelle Chang | Emergency Medicine | 1 Robert Wood Johnson Pl # 389a, New Brunswick, NJ 08901-1928 | 2017-07-12 |
| 1851812135 | James Gray | Emergency Medicine | 452 Louisa Ave, Wyckoff, NJ 07481-3025 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | WOODCLIFF LAKE |
| Zip Code | 07677 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.