North Wayne Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA059789 Issued in NJ

Legal business name

NORTH WAYNE PEDIATRICS

Practice address

508 Hamburg Tpke Ste 106
Wayne, NJ 07470-8482

Phone

(973) 942-7800

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Tomasz Adam Gruczynski, M.D.NPI 1497707087

Title

Owner

Phone

(973) 942-7800

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Tomasz Adam Gruczynski, M.D.

  • Pediatrics Physician
  • Wayne, NJ
  • NPI 1497707087
  NPD (past) Authorized official
• Nadira M Fernandez, MD

  • Pediatrics Physician
  • Wayne, NJ
  • NPI 1366004061
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124186853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE STE 106",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-942-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE STE 106",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-942-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WAYNE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUCZYNSKI",
        "authorized_official_first_name": "TOMASZ",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-942-7800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA059789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9044400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Jersey Spine Group LLC
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• North Jersey Therapy Center LLC
• North Jersey Vascular Center, LLC
• North NJ Counseling LLC
• Northern Rehab Inc.
• Northland Hearing Centers, Inc.
• Northlands Orthopaedic & Sports Medicine PA
• Northlands Orthopaedic Institute, LLC
• Alicia R Notkin, MD

• Primary Care Clinic/Center in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• 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.
• 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.