Organization Active NPI

Madison Medical Group LLC

  • Internal Medicine Physician
  • Chatham, NJ
National Provider Identifier
1043719826
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07544400 Issued in NJ
Legal business name
MADISON MEDICAL GROUP LLC
Practice address
159 Main St Ste 1B
Chatham, NJ 07928-2415
Phone
(973) 307-0253
Fax
(888) 857-0047
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Dr. Wayne M Lajewski, MDNPI 1558364166
Title
Owner & Physician
Phone
(973) 307-0253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA07544400 NJ Primary

Addresses

Primary practice location

159 Main St Ste 1B
Chatham, NJ 07928-2415

Mailing address

159 Main St Ste 1B
Chatham, NJ 07928-2415
Phone (973) 307-0253

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MadisonMedicalGroup.WayneLajewski@139340.advancedmd-direct.com Direct

National Provider Directory

National Provider Directory

Locations

159 Main St
Ste 1B
Chatham, NJ 07928
Phone (973) 307-0253

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16949/brand/1/csg/1/fhir/r4
  • Direct secure messaging: madisonmedicalgroup.waynelajewski@139340.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1043719826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MAIN ST STE 1B",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282415",
            "telephone_number": "973-307-0253",
            "fax_number": "888-857-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MAIN ST STE 1B",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282415",
            "telephone_number": "973-307-0253",
            "fax_number": "888-857-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "LAJEWSKI",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER & PHYSICIAN",
        "authorized_official_telephone_number": "973-307-0253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07544400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MadisonMedicalGroup.WayneLajewski@139340.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Direct Mail into EMR - AdvancedMD",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "159 Main St Ste 1B",
            "city": "Chatham",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079282415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.