DR. WENDELYN LEE WATERS (NPI# 1235207986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235207986 |
| Entity Type | Individual |
| Full Name | DR. WENDELYN LEE WATERS |
| Credential | M.D. |
| Practice Address |
5 Hastings Square Mall Schooley's Mountain Rd Hackettstown NJ 07840-4227 |
| Mailing Address |
149 Old Turnpike Rd Port Murray NJ 07865-3216 |
| Practice Telephone | 9089790050 |
| Mailing Telephone | 9086841182 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MA07479300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
5 HASTINGS SQUARE MALL SCHOOLEY'S MOUNTAIN RD |
| City | HACKETTSTOWN |
| State | NJ |
| Zip Code | 07840-4227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578650628 | Hackettstown Medical P.C. | Internal Medicine | 5 Hastings Square Mall, Schooleys Mountain Road, Hackettstown, NJ 07840-4227 | 2006-10-09 |
| 1093148322 | Primary Care Partners, LLC | Internal Medicine | 5 Hastings Square Mall, Hackettstown, NJ 07840-4227 | 2013-08-09 |
| 1295996015 | Denise Marie Kelly-jones | Nurse Practitioner | 5 Hastings Square Mall, Hackettstown, NJ 07840-4227 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740891894 | Amanda Kucevic | Assistant Behavior Analyst | 514 Moore Street, Hackettstown, NJ 07840 | 2020-08-12 |
| 1922571165 | Laura Montenegro | Social Worker | 3155 State Highway Route 10, Denville, NJ 07840 | 2019-01-10 |
| 1619447240 | Melissa Matturri | Pharmacist | 2045 Nj-57, Hackettstown, NJ 07840 | 2018-11-27 |
| 1164906806 | Best Choice Home Care Limited Liability Company | Home Health | 210a Goldfinch Court, Hackettstown, NJ 07840 | 2018-09-19 |
| 1003398405 | Qua Creative Kidz | Voluntary or Charitable | 707 Allen Rd, Hackettstown, NJ 07840 | 2018-08-31 |
| 1639669153 | Daniel A Jodexnis Jr. | Counselor | 112 East Ave Ste 9, Hackettstown, NJ 07840 | 2018-05-10 |
| 1649779489 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Possum Dr., Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1902305717 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Route 46 East, Apt. 1, Hackettstown, NJ 07840 | 2018-02-07 |
| 1538681473 | Sara Victoria Monk | Dietitian, Registered | 900 E Prospect Street, Hackettstown, NJ 07840 | 2017-07-12 |
| 1811426422 | Heather Mooneyhan | Nurse Practitioner | 57 U.S. 46, Suite #300, Hackettstown, NJ 07840 | 2017-06-07 |
| Find all providers in zip 07840 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477641074 | North Warren Medical Assoc | Family Medicine | Panther Valley Mall, Bldg B Route 517, Hackettstown, NJ 07840 | 2006-10-10 |
| 1669482428 | John C Murphy | Family Medicine | 57 Route 46 Ste 100, Hackettstown, NJ 07840 | 2006-08-08 |
| 1316962780 | Robyn L Russ-meek | Family Medicine | 57 Rte 46, Hackettstown, NJ 07840-2695 | 2006-07-13 |
| 1184676934 | Boris Freyman | Family Medicine | Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 | 2006-05-17 |
| 1760458699 | John J. Calicchio | Family Medicine | 57 Route 46, Suite 100, Hackettstown, NJ 07840-2695 | 2006-02-28 |
| 1992797427 | John Duryee | Family Medicine | 137 Mountain Ave, Hackettstown, NJ 07840-2390 | 2005-08-19 |
| 1033550744 | Jamie Leigh Rygielski | Family Medicine | 57 Route 46, Suite 100, Hackettstown, NJ 07840-2695 | 2013-07-10 |
| 1770733321 | Bijal A Dave | Family Medicine | 117 Seber Rd, Unit 1b, Hackettstown, NJ 07840-1722 | 2008-09-19 |
| 1063455780 | Sanjay K Jain | Family Medicine | Panther Valley Mall, Bldg B, Route 517, Hackettstown, NJ 07840 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | HACKETTSTOWN |
| Zip Code | 07840 |
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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.