GHASSAN LOUIS WARDEH (NPI# 1255332789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255332789 |
| Entity Type | Individual |
| Full Name | GHASSAN LOUIS WARDEH |
| Credential | MD |
| Practice Address |
342 Hamburg Tpke Ste 101 Wayne NJ 07470-2166 |
| Mailing Address |
123 Newton Sparta Rd Newton NJ 07860-2769 |
| Practice Telephone | 9739424140 |
| Practice Fax Number | 9739425070 |
| Mailing Telephone | 9735796300 |
| Mailing Fax Number | 9735791524 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA07703500 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA07703500 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
233510 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HIGHMARK MEDICARE SERVICES | 086482 | 01 |
| PA | 101206245 | 05 |
| Street Address |
342 HAMBURG TPKE STE 101 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780153338 | Escales Medical Associates At Wayne LLC | Clinic/Center | 342 Hamburg Tpke Ste 101, Wayne, NJ 07470-2166 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255690822 | Medical Specialists of Northern Newjersey LLC | Internal Medicine | 54a Hazen Ct, Wayne, NJ 07470-3212 | 2012-05-16 |
| 1548277601 | Lee B Berman | Internal Medicine | 330 Ratzer Road, Suite 4, Wayne, NJ 07470 | 2006-08-02 |
| 1629013933 | Liviu Rappaport | Internal Medicine | 508 Hamburg Turnpike, Suite 202, Wayne, NJ 07470-2025 | 2006-06-19 |
| 1265656615 | Pulmonary Medicine of Wayne PC | Internal Medicine | 508 Hamburg Tpke, Suite 202, Wayne, NJ 07470-8482 | 2007-04-13 |
| 1619092517 | Wayne Hills Medical Associates Pa | Internal Medicine | 401 Hamburg Turnpike, Suite 107, Wayne, NJ 07470 | 2007-03-20 |
| 1568547677 | Avtar Singh | Internal Medicine | 401 Hamburg Turnpike, Suite 107, Wayne, NJ 07470 | 2006-10-26 |
| 1184709297 | Reza Farhangfar | Internal Medicine | 401 Hamburg Tpke, Suite 107, Wayne, NJ 07470-2154 | 2006-10-26 |
| 1831145762 | Medhat Ismail Inc | Internal Medicine | 246 Hamburg Tpke, Suite 208, Wayne, NJ 07470-2156 | 2006-05-25 |
| 1982665600 | Medhat Ismail | Internal Medicine | 246 Hamburg Tpke, Suite 208, Wayne, NJ 07470-2156 | 2006-03-31 |
| 1619938768 | Mohamad Hazem Raslan | Internal Medicine | 33155 Annapolis St, Wayne, MI 48184-2405 | 2006-03-29 |
| Find all providers in WAYNE | ||||
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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.