Organization Active NPI

Mary Jane Warden, MD, PA

  • Surgery Physician
  • Wayne, NJ
National Provider Identifier
1346379138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MARY JANE WARDEN, MD, PA
Practice address
2035 Hamburg Tpke
Wayne, NJ 07470-6251
Phone
(973) 694-4155
Fax
(973) 694-6464
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary Jane Warden, MD
Title
President
Phone
(973) 694-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2035 Hamburg Tpke
Wayne, NJ 07470-6251

Mailing address

2035 Hamburg Tpke
Wayne, NJ 07470-6251
Phone (973) 694-4155

National Provider Directory

National Provider Directory

Locations

2035 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 694-4155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346379138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706251",
            "telephone_number": "973-694-4155",
            "fax_number": "973-694-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TPKE",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706251",
            "telephone_number": "973-694-4155",
            "fax_number": "973-694-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY JANE WARDEN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARDEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-694-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.