Individual provider Active NPI

Joseph M. Wildman, MD

  • Hematology & Oncology Physician
  • Livingston, NJ
National Provider Identifier
1114995941
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA03353000 Issued in NJ
Practice address
65 E Northfield Rd
Suite a
Livingston, NJ 07039-4525
Phone
(973) 422-0023
Fax
(973) 422-0033
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MA33530 NJ
Hematology & Oncology Physician 207RH0003X 25MA03353000 NJ Primary

Addresses

Primary practice location

65 E Northfield Rd
Suite a
Livingston, NJ 07039-4525

Mailing address

65 E Northfield Rd
Suite a
Livingston, NJ 07039-4525
Phone (973) 422-0023

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
I20071113000667 NJ Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical OncologyPractitioner - Hematology/Oncology 4688762362 Reassigns benefits to 1 organization
Practice locations: Livingston, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

65 E Northfield Rd
Suite a
Livingston, NJ 07039-4231
Phone (973) 422-0023

Hospital & facility affiliations

  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA03353000NJMDHematology & Oncology Physician
MA33530NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Oaks Hospital Inc CurrentSince Jun 12, 2010 Accepting new patients
Hospitalists Emo, LLC Past Accepting new patients

Locations

19 Prospect St
Summit, NJ 07901
Phone (908) 522-7000

Organizations & group practices 2

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 3

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1114995941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E NORTHFIELD RD",
            "address_2": "SUITE A",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394525",
            "telephone_number": "973-422-0023",
            "fax_number": "973-422-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E NORTHFIELD RD",
            "address_2": "SUITE A",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394525",
            "telephone_number": "973-422-0023",
            "fax_number": "973-422-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDMAN",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "MA33530",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA03353000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.