Individual provider Active NPI

Ann M Wry, MD

  • Internal Medicine Physician
  • Rochelle Park, NJ
National Provider Identifier
1013964204
Registry record updated Dec 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06656300 Issued in NJ
Practice address
114 Essex St
Rochelle Park, NJ 07662-4335
Phone
(201) 368-0201
Fax
(201) 368-0346
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06656300 NJ Primary

Addresses

Primary practice location

114 Essex St
Rochelle Park, NJ 07662-4335

Mailing address

1360 Clifton Ave
PMB 271
Clifton, NJ 07012-1343

Other identifiers 1

IdentifierTypeStateIssuer
159767OtherNJMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000128 NJ Practitioner - Internal Medicine 5698824217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 Essex St
Rochelle Park, NJ 07662-4335
Phone (201) 368-0201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Wry,MD., LLC CurrentSince Jun 21, 2009 Accepting new patients

Locations

114 Essex St
Ste 206
Rochelle Park, NJ 07662

114 Essex St
Rochelle Park, NJ 07662
Phone (201) 368-0201

114 Essex St
Fl 2
Rochelle Park, NJ 07662

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261872000000",
    "number": "1013964204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CLIFTON AVE",
            "address_2": "PMB 271",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ESSEX ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076624335",
            "telephone_number": "201-368-0201",
            "fax_number": "201-368-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRY",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06656300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "159767",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

Verify at the official NPI Registry.