Individual provider Active NPI

Brandon Needelman, MD

  • Cardiovascular Disease Physician
  • Wayne, NJ
National Provider Identifier
1093337370
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA12977200 Issued in NJ
Practice address
1578 Route 23 Ste 103
Wayne, NJ 07470-7516
Phone
(973) 706-0237
Fax
(973) 778-3252
NPI assigned
May 10, 2020
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 25MA12977200 NJ Primary

Addresses

Primary practice location

1578 Route 23 Ste 103
Wayne, NJ 07470-7516

Mailing address

1578 Route 23 Ste 103
Wayne, NJ 07470-7516
Phone (973) 706-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1093337370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 ROUTE 23 STE 103",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707516",
            "telephone_number": "973-706-0237",
            "fax_number": "973-778-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 ROUTE 23 STE 103",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707516",
            "telephone_number": "973-706-0237",
            "fax_number": "973-778-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDELMAN",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-10",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA12977200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.