MR. PAUL EDWARD WRY (NPI# 1659592715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659592715 |
| Entity Type | Individual |
| Full Name | MR. PAUL EDWARD WRY |
| Credential | MD |
| Practice Address |
37 Sunset Inn Rd Sunrise House Lafayette NJ 07848-2214 |
| Mailing Address |
70 Rockwood Dr Rockaway NJ 07866-4152 |
| Practice Telephone | 9733836300 |
| Mailing Telephone | 9736257687 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
17650 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICAL LICENSE | 25MA01765000 | 01 |
| Street Address |
37 SUNSET INN RD SUNRISE HOUSE |
| City | LAFAYETTE |
| State | NJ |
| Zip Code | 07848-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730255613 | Sunrise House Foundation | Substance Abuse Rehabilitation Facility | 37 Sunset Inn Rd, Lafayette, NJ 07848-2214 | 2006-11-24 |
| 1083244404 | Eliza Jo Paine | Dietitian, Registered | 37 Sunset Inn Rd, Lafayette, NJ 07848-2214 | 2020-01-24 |
| 1245875871 | Marissa Leigh Ott | Registered Nurse | 37 Sunset Inn Rd, Lafayette, NJ 07848-2214 | 2019-11-07 |
| 1134643323 | Jeffrey M. Thomas | Nurse Practitioner | 37 Sunset Inn Rd, Lafayette, NJ 07848-2214 | 2017-07-28 |
| 1366976581 | Victoria Sewell | Nurse Practitioner | 37 Sunset Inn Rd, Lafayette, NJ 07848 | 2017-04-13 |
| 1861873366 | New Jersey Addiction Treatment Center, LLC | Clinic/Center | 37 Sunset Inn Rd, Lafayette, NJ 07848 | 2015-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942842182 | Christina Kaylee Nied | Occupational Therapist | 156 Rt. 15 North, Lafayette, NJ 07848 | 2019-10-09 |
| 1356836142 | Jennifer Leigh Waters | Occupational Therapist | 156 Route 15 North, Lafayette, NJ 07848 | 2018-06-25 |
| 1619477379 | Jamie Lynn Torre | Occupational Therapist | 156 Nj-15, Lafayette, NJ 07848 | 2018-02-19 |
| 1558895144 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 185 Statesville Quarry Road, Lafayette, NJ 07848 | 2017-04-20 |
| 1861878894 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 61 Beaver Run Road, Lafayette, NJ 07848 | 2015-07-31 |
| 1821473471 | Broadstep Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 84 Valley View Road, Lafayette, NJ 07848 | 2015-07-24 |
| 1497007140 | Abby Wong Cheung | Occupational Therapist | 156 Route 15, Lafayette, NJ 07848 | 2012-10-04 |
| 1548546989 | Davina C Daura | Occupational Therapist | 156 Route -15, Lafayette, NJ 07848 | 2011-10-31 |
| 1093040701 | Marie M. Jackson | Dentist | 50 Route 15, Lafayette, NJ 07848 | 2009-10-14 |
| 1497828727 | Andover Subacute & Rehab Center Services One Inc | Durable Medical Equipment & Medical Supplies | 1 Obrien Lane, Lafayette, NJ 07848 | 2006-11-16 |
| Find all providers in zip 07848 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651480 | Scl Health Medical Group - Denver, LLC | Family Medicine | 2600 Campus Dr Ste A, Lafayette, CO 80026-3358 | 2020-08-28 |
| 1144372863 | Robert Charles Turner | Family Medicine | 3554 Promenade Pkwy, Suite H, Lafayette, IN 47909-8417 | 2007-01-16 |
| 1356363428 | John Cedric Dauphin | Family Medicine | 809 Martin Luther King Jr Dr, Lafayette, LA 70501-1884 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487141883 | Genesis Addiction and Behavioral Medicine, LLC | Family Medicine | 61 Spring St Ste 3, Newton, NJ 07860-2072 | 2018-04-20 |
| 1336497106 | Yolanda I Dagnino | Family Medicine | 39 Anderson Pkwy, Cedar Grove, NJ 07009-1111 | 2012-08-27 |
| 1386803989 | Emmanuel Nebechukwu Ekulide | Family Medicine | 43 Progress Street, Suburban Treatment Associates, Union, NJ 07083 | 2008-06-09 |
| 1467642736 | Affiliated Medical Service | Family Medicine | 25 E Front St, Keyport, NJ 07735-1562 | 2007-08-01 |
| 1467451823 | Lisa Ann Medvetz | Family Medicine | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2005-07-19 |
| 1043825250 | Recovery Wellness Group | Family Medicine | 205 W Parkway Dr, Egg Harbor Township, NJ 08234-5105 | 2020-09-14 |
| 1215566393 | Live Life Now Health Group of Nj PC | Family Medicine | 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054-1234 | 2020-04-02 |
| 1790329662 | Spero Physicians of New Jersey, PC | Family Medicine | 927 N Main St, Pleasantville, NJ 08232-1451 | 2019-11-04 |
| 1215588447 | South Jersey Medical Associates | Family Medicine | 1580 Route 9 N, Cape May Court House, NJ 08210-1416 | 2019-09-29 |
| 1396303459 | Rodney C. Brunson, Do PC | Family Medicine | 201 Tilton Rd Ste 12, Northfield, NJ 08225-1247 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.