NPIMap

Individual provider Active NPI

David Marc Wild, MD

  • Cardiovascular Disease Physician
  • Teaneck, NJ
National Provider Identifier
1013112671
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08328000 Issued in NJ
Practice address
954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone
(201) 833-2300
Fax
(201) 833-7600
NPI assigned
Jun 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA08328000 NJ Primary

Addresses

Primary practice location

954 Teaneck Rd
Teaneck, NJ 07666-4504

Mailing address

954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone (201) 833-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080801000032 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 9739253246 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rutgers, Robert Woood Johnson Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PC 1,901 clinicians
Smi Imaging LLC 380 clinicians
Holy Name Hospital Ekg Interpretation Group 13 clinicians
Holy Name Cardiology Associates, PC 7 clinicians
Simonmed Imaging Florida LLC 302 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

3124 Cohocton Ave
Point Pleasant Boro, NJ 08742-3535
Phone (480) 306-6949

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3000

954 Teaneck Rd
Teaneck, NJ 07666-4504
Phone (480) 306-6949

Hospital & facility affiliations

  • Holy Name Medical Center Hospital, Teaneck, NJ, CCN 310008
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08328000NJMDCardiovascular Disease Physician

Practice roles (11 of 13)

OrganizationSpecialtyStatusNew patients
Smi Imaging, LLC CurrentSince Mar 12, 2022 Accepting new patients
Nostrand Diagnostics Corp. CurrentSince Jun 1, 2026 Accepting new patients
Howard John Simon MD PC CurrentSince Jan 21, 2020 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Nov 1, 2010 Accepting new patients
Yuma Cardiology Associates, P.C. CurrentSince Dec 7, 2024 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince May 1, 2016 Accepting new patients
David Wild, MD PC Cardiovascular Disease Current Accepting new patients
Holy Name Cardiology Associates, PC Cardiovascular Disease CurrentSince Mar 31, 2012 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Nov 1, 2010 Accepting new patients
Urgent Medical Care@Hackensack Past Accepting new patients
Cardiovascular Imaging Associates Past Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

15810 S 45th St
Ste 110
Phoenix, AZ 85048
Phone (480) 743-6161

1975 W 24th St
Yuma, AZ 85364
Phone (520) 341-9522

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

968 River Rd
Ste 204
Edgewater, NJ 07020
Phone (201) 217-1224

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

255 W Spring Valley Ave
Ste 201
Maywood, NJ 07607
Phone (201) 881-1255

954 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-2300

954 Teaneck Rd
#M
Teaneck, NJ 07666

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: david.wild@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1013112671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664504",
            "telephone_number": "201-833-2300",
            "fax_number": "201-833-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664504",
            "telephone_number": "201-833-2300",
            "fax_number": "201-833-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "DAVID",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-15",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08328000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.