Active NPI
Wayne Cruz Zwick, M.D.
- Family Medicine Physician
- Milford, DE
National Provider Identifier
1336170083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C10002773
- Practice address
- 100 Delaware Veterans Blvd
Milford, DE 19963-5395 - Phone
- (302) 424-6000
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 01051725A | IN | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | C10002773 | DE | |
| Family Medicine Physician | 207Q00000X | C10002773 | DE | Primary |
| Family Medicine Physician | 207Q00000X | 01051725A | IN |
Addresses
Primary practice location
100 Delaware Veterans Blvd
Milford, DE 19963-5395
Mailing address
16 Kingston Ter
Milford, DE 19963-4168
Phone (260) 485-4580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10002773 | DE | MD | Geriatric Medicine (Family Medicine) Physician |
| 01051725A | IN | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania Department of Public Welfare | Past | Accepting new patients | |
| Pennsylvania Department of Human Services | Past | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
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Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1336170083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 KINGSTON TER",
"city": "MILFORD",
"state": "DE",
"postal_code": "199634168",
"telephone_number": "260-485-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DELAWARE VETERANS BLVD",
"city": "MILFORD",
"state": "DE",
"postal_code": "199635395",
"telephone_number": "302-424-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWICK",
"first_name": "WAYNE",
"middle_name": "CRUZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "IN",
"license": "01051725A",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "DE",
"license": "C10002773",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C10002773",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01051725A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.