Active NPI
Mark Waciega, MD
- Emergency Medicine Physician
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MA04817600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5477701 | Medicaid | NJ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111220000346 | NJ | Practitioner - Pediatric Medicine | 9931005428 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric 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 LLC
Practice addresses (Care Compare)
901 W Main St
Freehold, NJ 07728-2549
Phone (954) 939-5000
Hospital & facility affiliations
- Centrastate Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04817600 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Jersey Emergency Medicine Associates, PC | Emergency Medicine | Current | Accepting new patients |
| Immediate Care Medical Walk-in of Hazlet, PA | Current | Accepting new patients | |
| Urgent Care Physicians of New Jersey, LLC | Emergency Medicine | Current | Accepting new patients |
| Morristown Emergency Medical Associates LLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1649541087
Emergency Medicine, NJ
-
- Emergency Medicine Physician
- Red Bank, NJ
- NPI 1447622402
Emergency Medicine, NJ
-
- Emergency Medicine Physician
- Freehold, NJ
- NPI 1538106257
Emergency Medicine, NJ
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1306194386
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.