Individual provider Active NPI

Ralph Wheeler, MD

  • Diagnostic Radiology Physician
  • Wayne, NJ
National Provider Identifier
1194706895
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA06322000 Issued in NJ
Practice address
220 Hamburg Tpke
Wayne, NJ 07470-2110
Phone
(973) 904-0404
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA06322000 NJ Primary

Addresses

Primary practice location

220 Hamburg Tpke
Wayne, NJ 07470-2110

Mailing address

PO Box 9132
Brookline, MA 02446-9132
Phone (603) 893-9784

Other identifiers 1

IdentifierTypeStateIssuer
8651400MedicaidMA

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.
Opted out of Medicare
Yes, effective Jan 1, 2021 through Jan 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ijkg Opco LLC Current Accepting new patients
Imaging Associates PA Diagnostic Radiology Past Accepting new patients
Alpha Scan Imaging, LLC Diagnostic Radiology Past Accepting new patients
New Smyrna Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients
Vita Medical Center, PC Diagnostic Radiology PastSince Sep 21, 2010 Accepting new patients
Cranford Diagnostic Imaging PA Diagnostic Radiology Past Accepting new patients
Passaic Medical Group PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ralph.wheeler@direct.bayonnemedicalcenter.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1194706895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9132",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469132",
            "telephone_number": "603-893-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702110",
            "telephone_number": "973-904-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "RALPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA06322000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8651400",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.