Individual provider Active NPI

Ghassan Louis Wardeh, MD

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1255332789
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07703500 Issued in NJ
Practice address
342 Hamburg Tpke Ste 101
Wayne, NJ 07470-2166
Phone
(973) 942-4140
Fax
(973) 942-5070
NPI assigned
Aug 9, 2005
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA07703500 NJ
Pulmonary Disease Physician 207RP1001X 233510 NY
Internal Medicine Physician 207R00000X 25MA07703500 NJ Primary

Addresses

Primary practice location

342 Hamburg Tpke Ste 101
Wayne, NJ 07470-2166

Mailing address

342 Hamburg Tpke Ste 101
Wayne, NJ 07470-2166
Phone (973) 942-4140

Other identifiers 9

IdentifierTypeStateIssuer
00040117774OtherNJUHC
P616-3453OtherNJOXFORD
1997788OtherNJWELLCARE
60420852OtherNJHORIZON NJ
086482OtherNJHIGHMARK MEDICARE SERVICES
PBS0042956765OtherNJAMERIHEALTH
101206245MedicaidPA
6149915OtherNYAETNA
07135891OtherNJAMERIGROUP

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
I20041217000209 NJ Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Sleep Medicine 4082674585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease, Sleep Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inhospital Physicians Corp of New Jersey, PCGroup PAC ID 2264781780, 20 clinicians

Practice addresses (Care Compare)

342 Hamburg Tpke
Suite 101
Wayne, NJ 07470-2166
Phone (973) 942-4140

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Escales Medical Associates at Wayne LLC CurrentSince Dec 10, 2018 Accepting new patients
FLH Medical, PC Past Accepting new patients
FLH Medical, PC Past Accepting new patients
Pulmonarydiseasesltd Pulmonary Disease Past Accepting new patients
Ihpnj ER LLC Past Accepting new patients
Highlands Interventional Pain Management LLC Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

506 Broadway
Bayonne, NJ 07002
Phone (201) 471-7012

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

342 Hamburg Tpke
Ste 101
Wayne, NJ 07470
Phone (973) 941-4140

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1255332789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702166",
            "telephone_number": "973-942-4140",
            "fax_number": "973-942-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 HAMBURG TPKE STE 101",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702166",
            "telephone_number": "973-942-4140",
            "fax_number": "973-942-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEH",
        "first_name": "GHASSAN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA07703500",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "233510",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07703500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "00040117774",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P616-3453",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1997788",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ",
            "identifier": "60420852",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK MEDICARE SERVICES",
            "identifier": "086482",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "PBS0042956765",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101206245",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6149915",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "07135891",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.