Phillip A Wackym (NPI# 1720030315, PAC ID# 2062449853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1720030315 |
| PAC ID by PECOS | 2062449853 |
| Professional Enrollment ID | I20170522000619 |
| Full Name | Phillip A Wackym |
| Organization Legal Name | RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY |
| Address |
1 Robert Wood Johnson Pl New Brunswick NJ 08901-1928 |
| Phone Number | 7328283000 |
| Gender | M |
| Credential | MD |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4587613443 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310038 | ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 7328283000 | RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY |
| 10 Plum St, Fl 5, New Brunswick, NJ 08901-2066 | 7322356333 | RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY |
| 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 | 7322357756 | RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY |
| Organization Legal Name | RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen A Johnson | Neurosurgery | Rutgers Health-rwj Neurosurgery Faculty | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Matin Imanguli | Otolaryngology | Rutgers Health-rwj Neurosurgery Faculty | 10 Plum St, Fl 5, New Brunswick, NJ 08901-2066 |
| Nicole Casper | Nurse Practitioner | Rutgers Health-rwj Neurosurgery Faculty | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Gaurav Gupta | Neurosurgery | Rutgers Health-rwj Neurosurgery Faculty | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Alice M Edwards | Physician Assistant | Rutgers Health-rwj Neurosurgery Faculty | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 |
| Simon J Hanft | Neurosurgery | Rutgers Health-rwj Neurosurgery Faculty | 195 Little Albany St, New Brunswick, NJ 08901-1914 |
| Michael G Nosko | Neurosurgery | Rutgers Health-rwj Neurosurgery Faculty | 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 |
| Shabbar F Danish | Neurosurgery | Rutgers Health-rwj Neurosurgery Faculty | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Mahreen Quadeer | Nurse Practitioner | Rutgers Health-rwj Neurosurgery Faculty | 10 Plum St, Fl 5, New Brunswick, NJ 08901-2066 |
| Anil Nanda | Neurosurgery | Rutgers Health-rwj Neurosurgery Faculty | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Street Address |
1 ROBERT WOOD JOHNSON PL |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip | 08901-1928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen A Johnson | Neurosurgery | Rutgers Health-rwj Neurosurgery Faculty | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Hae Yoon Grace Choung | Pathology | Rutgers Health-rwj Pathology | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Billie S Fyfe-kirschner | Pathology | Rutgers Health-rwj Pathology | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Shaul Cohen | Anesthesiology | Rutgers Health-rwj Anesthesiology Group | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Deborah Caputo | Nurse Practitioner | Rutgers Health-rwj Neurology Group | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Lalaine Genuino | Nurse Practitioner | Rutgers Health-rwj Family Medicine | 1 Robert Wood Johnson Pl, Robert Wood Johnson Hospital, New Brunswick, NJ 08901-1928 |
| Manish Surendra Patel | Internal Medicine | Rutgers Health Rwj Department of Medicine Gen Internal | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Joseph Napolitano | Ophthalmology | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | |
| Fred A Kobylarz | Family Medicine | Rutgers Health - PCc Monument Square | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| James Tse | Anesthesiology | Rutgers Health-rwj Anesthesiology Group | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace C Cho | Anesthesiology | Anesthesia Consultants of New Jersey LLC | St Peters Univ Hospital, New Brunswick, NJ 08901 |
| Antonio M Grasso | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Tanisha Arora | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Pooja M Patil | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Sarah E Kulp | Physician Assistant | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Peter C Freis | Pediatric Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Melissa Y Richart | Physician Assistant | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Tanuja Bhoj | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Michael L Hochberg | Emergency Medicine | Southern Bank Emergency Physicians LLC | 254 Easton Ave, New Brunswick, NJ 08901-0591 |
| Robin Axel | Clinical Social Worker | Catholic Charities, Diocese of Metuchen | 24 Abeel St, New Brunswick, NJ 08901-1303 |
| Find all physicians in zip 08901 | |||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | NEW BRUNSWICK + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Phillip A Wackym.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.