Active NPI
Wendy Nach DPM
- Durable Medical Equipment & Medical Supplies
- Fair Lawn, NJ
National Provider Identifier
1407034150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- MD001827
- Legal business name
- WENDY NACH DPM
- Practice address
- 15-01 Broadway
Fair Lawn, NJ 07410-6003 - Phone
- (201) 794-6656
- Fax
- (201) 794-7642
- NPI assigned
- Feb 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wendy Gayle Nach, DPM
- Title
- President
- Phone
- (201) 794-6656
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MD001827 | NJ | Primary |
Addresses
Primary practice location
15-01 Broadway
Fair Lawn, NJ 07410-6003
Mailing address
15-01 Broadway
Fair Lawn, NJ 07410-6003
Phone (201) 794-6656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076043 | NJ | DME Supplier - Physician - Podiatry | 5799802971 | Practice locations: Fair Lawn, NJ |
National Provider Directory
National Provider DirectoryLocations
15-01 Broadway
Ste 30C
Fair Lawn, NJ 07410
Phone (201) 585-0853
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.200011
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Fair Lawn, NJ
- NPI 1831116607
-
- Primary Podiatric Medicine Podiatrist
- Fair Lawn, NJ
- NPI 1114423324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1407034150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15-01 BROADWAY",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-794-6656",
"fax_number": "201-794-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-01 BROADWAY",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074106003",
"telephone_number": "201-794-6656",
"fax_number": "201-794-7642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WENDY NACH DPM",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-05",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "NACH",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "GAYLE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-794-6656",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NJ",
"license": "MD001827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.