Pulmonary Medicine of Wayne PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA57242 Issued in NJ

Legal business name

PULMONARY MEDICINE OF WAYNE PC

Practice address

508 Hamburg Tpke
Suite 202
Wayne, NJ 07470-8482

Phone

(973) 956-1404

Fax

(973) 956-1646

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Liviu Rappaport, M.D.NPI 1629013933

Title

Owner

Phone

(973) 956-1404

Specialties & licenses 1

Addresses

Other identifiers 9

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Liviu Rappaport, M.D.

  • Internal Medicine Physician
  • Wayne, NJ
  • NPI 1629013933
  Authorized official Same address or phone

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265656615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-956-1404",
            "fax_number": "973-956-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE 202",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-956-1404",
            "fax_number": "973-956-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY MEDICINE OF WAYNE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAPPAPORT",
        "authorized_official_first_name": "LIVIU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-956-1404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA57242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2720576004",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "9C1761",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HMO BLUE",
            "identifier": "J5518",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "AMERIGROUP",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K2751",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3060227",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2720576000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P782845",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068158",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Pulmonary Disease Physician 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.