Active NPI
Marcia J Wade, M.D.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1184745234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 138658
- Practice address
- 60 Sutton PL S
South 19 C-N
New York, NY 10022-4168 - Phone
- (212) 421-8409
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 47673 | MA | |
| Internal Medicine Physician | 207R00000X | 138658 | NY | Primary |
Addresses
Primary practice location
60 Sutton PL S
South 19 C-N
New York, NY 10022-4168
Mailing address
60 Sutton PL S
South 19 C-N
New York, NY 10022-4168
Phone (212) 421-8409
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138658 | NY | MD | Internal Medicine Physician |
| 47673 | MA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1184745234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 SUTTON PL S",
"address_2": "SOUTH 19 C-N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224168",
"telephone_number": "212-421-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 SUTTON PL S",
"address_2": "SOUTH 19 C-N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224168",
"telephone_number": "212-421-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "MARCIA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "47673",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "138658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.