Active NPI
Ghassan Louis Wardeh, MD
- Internal Medicine Physician
- Wayne, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07703500
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00040117774 | Other | NJ | UHC |
| P616-3453 | Other | NJ | OXFORD |
| 1997788 | Other | NJ | WELLCARE |
| 60420852 | Other | NJ | HORIZON NJ |
| 086482 | Other | NJ | HIGHMARK MEDICARE SERVICES |
| PBS0042956765 | Other | NJ | AMERIHEALTH |
| 101206245 | Medicaid | PA | |
| 6149915 | Other | NY | AETNA |
| 07135891 | Other | NJ | AMERIGROUP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Escales Medical Associates at Wayne LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Wayne, NJ
- NPI 1780153338
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1336625425
-
- Pediatrics Physician
- New Hyde Park, NY
- NPI 1578665048
Internal Medicine, NJ
-
dba Riverside Medical Group
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Pain Medicine (Anesthesiology) Physician
- Newton, NJ
- NPI 1528164258
-
- Emergency Medicine Physician
- Hoboken, NJ
- NPI 1225750946
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
-
- Gastroenterology Physician
- Geneva, NY
- NPI 1164766325
-
- Family Medicine Physician
- Penn Yan, NY
- NPI 1215174644
-
- Pulmonary Disease Physician
- West Chester, PA
- NPI 1225082316
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hackensack University Medical Center
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- Hackensack, NJ
- NPI 1518683929
Hospital
-
- Long Term Care Hospital
- Rochelle, NJ
- NPI 1093713521
Long-term care hospital
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
-
- General Acute Care Hospital
- New York, NY
- NPI 1477616571
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.
- 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.