Hetty Anne Waskin, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

25MA07346700 Issued in NJ

Practice address

2015 Galloping Hill Rd
K-15-3-3395
Kenilworth, NJ 07033-1310

Phone

(908) 740-2364

NPI assigned

Apr 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1447424759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MUENTENER DR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581724",
            "telephone_number": "908-425-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 GALLOPING HILL RD",
            "address_2": "K-15-3-3395",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331310",
            "telephone_number": "908-740-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKIN",
        "first_name": "HETTY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "32296",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA07346700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Marques Center
• Eduardo Mauricio Trujillo, DPT
• Gary Udasin, M.D.
• Union County Nephrology Associates
• Laurie Wade, PHARMD
• William J Derkasch Cyrus G Dehkan PTRS
• Lixin Wu
• Xeron Clinical Laboratories Inc.
• Michelle Sherri Zuckerman, PSY.D.

• Infectious Disease Physician in Kenilworth, NJ
• Providers in Kenilworth, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.