NPIMap

Individual provider Active NPI

Estela Wajcberg, M.D.

  • Internal Medicine Physician
  • Millburn, NJ
National Provider Identifier
1356599294
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08542800 Issued in NJ
Practice address
33 Bleeker St
Millburn, NJ 07041-1459
Phone
(908) 330-0810
Fax
(862) 206-8259
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08542800 NJ Primary

Addresses

Primary practice location

33 Bleeker St
Millburn, NJ 07041-1459

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000077 NJ Practitioner - Internal Medicine 6002005709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC Internal Medicine CurrentSince Jan 22, 2013 Accepting new patients
Princeton Healthcare Provider Group LLC Internal Medicine Current Accepting new patients
Summit Medical Group PA CurrentSince Nov 14, 2022 Accepting new patients
Summit Medical Group PA CurrentSince Nov 14, 2022 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Nov 1, 2015 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Internal Medicine Current Accepting new patients
Princeton Healthcare Affiliated Physicians PC Internal Medicine CurrentSince Jan 22, 2013 Accepting new patients
Summit Medical Group, Inc Internal Medicine Past Accepting new patients
International Healthcare of NJ Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

905 Herrontown Rd
Princeton, NJ 08540
Phone (609) 497-3300

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Interoperability endpoints

  • Direct secure messaging: estela.wajcberg.1@2983.direct.athenahealth.com

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 2

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1356599294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BLEEKER ST",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411459",
            "telephone_number": "908-330-0810",
            "fax_number": "862-206-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJCBERG",
        "first_name": "ESTELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08542800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.