Albert J Wacha, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

25MD00116900 Issued in NJ

Practice address

31 Smull Ave
Caldwell, NJ 07006-5011

Phone

(973) 226-4848

Fax

(973) 226-7529

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Douglas McKay DPM LLCGroup PAC ID 5395938609, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Douglas J McKay DPM LLC

  • Podiatrist
  • Caldwell, NJ
  • NPI 1376851063
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1407954324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SMULL AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065011",
            "telephone_number": "973-226-4848",
            "fax_number": "973-226-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SMULL AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065011",
            "telephone_number": "973-226-4848",
            "fax_number": "973-226-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHA",
        "first_name": "ALBERT",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NJ",
            "license": "25MD00116900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Marie Victor, LCSW
• Victory Aid LLC.
• Marilou Villareal, RN, BSN
• Michael G Volpe, D.M.D.
• Neli Vorobyov
• Warren J Bleiweiss MD PA
• Lisa Allyn Waterman, LCSW
• Catherine Cecelia Waters, PHD
• John A Witt, DC
• Caitlin Worthey, PT, DPT

• Primary Podiatric Medicine Podiatrist in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Primary Podiatric Medicine Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.

Verify at the official NPI Registry.