Active NPI
Wayne Fleischhacker, DO
- Pain Medicine (Anesthesiology) Physician
- Union, NJ
National Provider Identifier
1386637270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 25MB058448900
- Practice address
- 695 Chestnut Street
Union, NJ 07083 - Phone
- (908) 851-8602
- Fax
- (908) 851-8758
- NPI assigned
- Aug 25, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 25MB05848900 | NJ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 25MB058448900 | NJ | Primary |
Addresses
Primary practice location
695 Chestnut Street
Union, NJ 07083
Mailing address
PO Box 415750
Boston, MA 02241-5750
Phone (908) 851-8602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6408907 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
695 Chestnut St
Union, NJ 07083-7200
Phone (908) 851-6171
Hospital & facility affiliations
- Robert Wood Johnson University Hospital at Rahway
- St Joseph'S University Medical Center Inc
- Kessler Rehab Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB058448900 | NJ | MD | Pain Medicine (Anesthesiology) Physician |
| 25MB05848900 | NJ | MD | Pain Medicine Physician |
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Union, NJ
- NPI 1730293598
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- West Orange, NJ
- NPI 1013919620
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Rahway, NJ
- NPI 1861486870
-
- General Acute Care Hospital
- Paterson, NJ
- NPI 1669462420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1386637270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415750",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415750",
"telephone_number": "908-851-8602",
"fax_number": "908-686-8758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 CHESTNUT STREET",
"city": "UNION",
"state": "NJ",
"postal_code": "07083",
"telephone_number": "908-851-8602",
"fax_number": "908-851-8758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHHACKER",
"first_name": "WAYNE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NJ",
"license": "25MB05848900",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NJ",
"license": "25MB058448900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6408907",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.