Wayne Primary Care, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WAYNE PRIMARY CARE, P.A.

Practice address

508 Hamburg Tpke
Suite102
Wayne, NJ 07470-8482

Phone

(973) 595-0096

Fax

(973) 595-6414

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Erhan Kucuk, M.D.

Title

President

Phone

(973) 595-0096

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285635177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE102",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-595-0096",
            "fax_number": "973-595-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 HAMBURG TPKE",
            "address_2": "SUITE102",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074708482",
            "telephone_number": "973-595-0096",
            "fax_number": "973-595-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PRIMARY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KUCUK",
        "authorized_official_first_name": "ERHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-595-0096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8143200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Orthodontics LLC
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• Wayne Pathologists PA
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• Wayne Physical Therapy LLC
• Wayne Radiology Associates,LLC
• Wayne Radiology Center Co
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• Wayne RX Inc (Wayne Pharmacy)
• Wayne RX Inc

• Internal Medicine Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.