Individual provider Active NPI

Mark Waciega, MD

  • Emergency Medicine Physician
  • Freehold, NJ
National Provider Identifier
1346295482
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA04817600 Issued in NJ
Practice address
901 W Main St
Centrastate Medical Center
Freehold, NJ 07728-2537
Phone
(732) 294-2666
Fax
(732) 431-8267
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA04817600 NJ Primary

Addresses

Primary practice location

901 W Main St
Centrastate Medical Center
Freehold, NJ 07728-2537

Mailing address

PO Box 2680
Central Jersey Emergency Medicine Associates PC
New Brunswick, NJ 08903-2680
Phone (800) 666-2455

Other identifiers 1

IdentifierTypeStateIssuer
5477701MedicaidNJ

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
I20111220000346 NJ Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9931005428 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morristown Emergency Medical Associates LLCGroup PAC ID 7618136078, 82 clinicians

Practice addresses (Care Compare)

901 W Main St
Freehold, NJ 07728-2549
Phone (954) 939-5000

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04817600NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Emergency Medicine Associates, PC Emergency Medicine CurrentSince Aug 11, 2009 Accepting new patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Jan 1, 2016 Accepting new patients
Urgent Care Physicians of New Jersey, LLC Emergency Medicine CurrentSince Dec 15, 2015 Accepting new patients
Morristown Emergency Medical Associates LLC Emergency Medicine CurrentSince Nov 10, 2024 Accepting new patients
Central Jersey Emergency Medicine Asst. Current Accepting new patients

Locations

319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300

561 US Highway 1
Edison, NJ 08817
Phone (732) 933-0950

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346295482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2680",
            "address_2": "CENTRAL JERSEY EMERGENCY MEDICINE ASSOCIATES PC",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089032680",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "CENTRASTATE MEDICAL CENTER",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-294-2666",
            "fax_number": "732-431-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACIEGA",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA04817600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5477701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.