Mark S Waxman MD PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

25MA03630700 Issued in NJ

Legal business name

MARK S WAXMAN MD PC

Practice address

312 Belleville Tpke
Suite 1B
North Arlington, NJ 07031-6463

Phone

(201) 997-6776

Fax

(201) 997-6610

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Steven Waxman, MDNPI 1396719894

Title

President

Phone

(201) 997-6776

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mark Steven Waxman, MD

  • Internal Medicine Physician
  • North Arlington, NJ
  • NPI 1396719894

  Gastroenterology

  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1386775393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TPKE",
            "address_2": "SUITE 1B",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316463",
            "telephone_number": "201-997-6776",
            "fax_number": "201-997-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BELLEVILLE TPKE",
            "address_2": "SUITE 1B",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070316463",
            "telephone_number": "201-997-6776",
            "fax_number": "201-997-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S WAXMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-997-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA03630700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in North Arlington, NJ
• Providers in North Arlington, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.