Niya Wanich, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

230693 Issued in NY

Practice address

216 Engle St
Suite 101
Englewood, NJ 07631-2444

Phone

(201) 816-9800

Fax

(201) 567-1569

NPI assigned

Aug 10, 2007

Last updated

Oct 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Allergy/Immunology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Englewood Ear Nose and Throat PCGroup PAC ID 6002900701, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Englewood Ear Nose & Throat PC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Englewood, NJ
  • NPI 1922208875
  Medicare reassignment Care Compare group NPD
• Anthony F. Jahn,M.D.,PA

  • Otology & Neurotology Physician
  • Roseland, NJ
  • NPI 1134367501
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1043402357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 ENGLE STREET",
            "address_2": "SUITE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-816-9800",
            "fax_number": "201-567-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ENGLE ST",
            "address_2": "SUITE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312444",
            "telephone_number": "201-816-9800",
            "fax_number": "201-567-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANICH",
        "first_name": "NIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "230693",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "104650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexey Volokhov
• Karen A Voorhees, APN
• Victoria Helen Wacha, PHD
• Penina Wachtel
• Walgreen Co (Walgreens #13711)
• Washington Heights Orthodontics
• Drew Washington
• Theresa Marcia Washington, MSAC, LCADC, C-DBT
• Ayesha Wasim, M.D.
• Wasserman Orthopedic and Sports Rehab LLC

• Allergy & Immunology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Allergy & Immunology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.