Organization Active NPI

Zygmunt T Wawrzyniak MD

  • Internal Medicine Physician
  • Linden, NJ
National Provider Identifier
1063589760
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA56480 Issued in NJ
Legal business name
ZYGMUNT T WAWRZYNIAK MD
Practice address
911 N Wood Ave
Linden, NJ 07036-4039
Phone
(908) 925-7425
Fax
(908) 925-6520
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Zygmunt T Wawrzyniak, MDNPI 1720187859
Title
Owner
Phone
(908) 925-7425

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 MA56480 NJ Primary

Addresses

Primary practice location

911 N Wood Ave
Linden, NJ 07036-4039

Mailing address

911 N Wood Ave
Linden, NJ 07036-4039
Phone (908) 925-7425

Other identifiers 1

IdentifierTypeStateIssuer
5560101MedicaidNJ

National Provider Directory

National Provider Directory

Locations

911 N Wood Ave
Linden, NJ 07036
Phone (908) 925-7425

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063589760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364039",
            "telephone_number": "908-925-7425",
            "fax_number": "908-925-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364039",
            "telephone_number": "908-925-7425",
            "fax_number": "908-925-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZYGMUNT T WAWRZYNIAK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAWRZYNIAK",
        "authorized_official_first_name": "ZYGMUNT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-925-7425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA56480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5560101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.