RONALD H. WACHSBERG


Address: 40 Belmont Pl, Passaic, NJ 07055-4502
Phone: 9738655228

RONALD H. WACHSBERG (NPI# 1982636759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982636759
Entity Type Individual
Full Name RONALD H. WACHSBERG
Credential M.D.
Practice Address 40 Belmont Pl
Passaic
NJ 07055-4502
Mailing Address 40 Belmont Place
Passaic
NJ 07055
Practice Telephone 9738655228
Mailing Telephone 9738655228
Enumeration Date 2006-07-06
Last Update Date 2016-11-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
25MA05711700 NJ Allopathic & Osteopathic Physicians
N 2085B0100X Radiology
Specialization: Body Imaging
159911-1 NY Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
159911-1 NY Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
25MA05711700 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 5234204 05

Office Location

Street Address 40 BELMONT PL
City PASSAIC
State NJ
Zip Code 07055-4502

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

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NPI Name Taxonomy Address Enumeration
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1164499364 Sancor Medical Enterprises, LLC Radiology 350 Boulevard, Passaic, NJ 07055-2840 2006-03-07

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Competitor

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City PASSAIC
Zip Code 07055

Improve Information

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Dataset Information

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.

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