Individual provider Active NPI

Robert Noah Waxman, MD

  • Specialist
  • Passaic, NJ
National Provider Identifier
1467422105
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA6998700 Issued in NJ
Practice address
350 Boulevard
Passaic, NJ 07055-2840
Phone
(973) 365-4300
Fax
(973) 365-9980
NPI assigned
Jan 25, 2006
Last updated
Jan 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA6998700 NJ Primary

Addresses

Primary practice location

350 Boulevard
Passaic, NJ 07055-2840

Mailing address

935 Allwood Rd
Suite 230
Clifton, NJ 07012-1988
Phone (973) 365-2750

Other identifiers 1

IdentifierTypeStateIssuer
8617201MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040108000037 NJ Practitioner - Diagnostic Radiology 9638078645 Reassigns benefits to 16 organizations
I20040719000951 NY Practitioner - Diagnostic Radiology 9638078645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York University Medical College - NLG, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denville Diagnostics Imaging and Open MRI LLCGroup PAC ID 5496779290, 39 clinicians
The New Jersey Imaging Network, LLCGroup PAC ID 2860633492, 68 clinicians
Newton Imaging P.a.Group PAC ID 1254325970, 42 clinicians
Radiology Associates of Hackettstown LLCGroup PAC ID 3779666565, 35 clinicians
MRI Associates of Hackettstown LLCGroup PAC ID 0749320737, 26 clinicians

Practice addresses (Care Compare)

0100 28TH St
Imagecare at Fair Lawn
Fair Lawn, NJ 07410-3786
Phone (201) 475-1300

17 White Horse Pike
Haddon Heights, NJ 08035-1299
Phone (856) 546-1177

222 High St
Suite 101
Newton, NJ 07860-9604
Phone (973) 383-1280

57 Route 46 E
Suite 212
Hackettstown, NJ 07840-2695
Phone (908) 979-1621

657 Willow Grove St
Suite 205
Hackettstown, NJ 07840-1868
Phone (908) 979-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA6998700NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
Radiology Associates of Brooklyn, LLP Specialist CurrentSince Mar 1, 2024 Accepting new patients
The Radiology Group of New Jersey, LLC CurrentSince Jan 1, 2026 Accepting new patients
Hudson Valley Radiology Associates PLLC CurrentSince Jun 27, 2022 Accepting new patients
Middletown Ventures Associates LLC CurrentSince Oct 16, 2020 Accepting new patients
Denville Diagnostics Imaging and Open MRI LLC CurrentSince Oct 7, 2019 Accepting new patients
Radiologic Associates of Northern New Jersey, PA CurrentSince Jan 1, 2019 Accepting new patients
Radiology Associates of Hackettstown LLC CurrentSince May 1, 2011 Accepting new patients
Newton Imaging P.a. CurrentSince Jan 1, 2019 Accepting new patients
MRI Associates of Hackettstown LLC CurrentSince Jul 1, 2011 Accepting new patients
West Orange Radiology, LLC CurrentSince Oct 23, 2020 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince Oct 1, 2015 Accepting new patients
East Brunswick Open Upright MRI LLC CurrentSince Oct 16, 2020 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Mar 20, 2012 Accepting new patients
Open MRI Radiology LLC CurrentSince Oct 16, 2020 Accepting new patients
Womens Diagnostic Center, P.a. CurrentSince Jan 1, 2019 Accepting new patients
Northfield Imaging Center PA PastSince Aug 14, 2010 Accepting new patients
Yonkers Imaging PC Past Accepting new patients
Stand-Up MRI of Manhattan,P.C. Past Accepting new patients
Hackettstown Anesthesia Associates PastSince May 1, 2011 Accepting new patients
Imaging Associates PA Past Accepting new patients
Stand-Up MRI of Brooklyn, P.C. PastSince Jan 22, 2002 Accepting new patients
Stand-Up MRI of Lynbrook, P.C. PastSince Jun 1, 2004 Accepting new patients
Capital Health Advanced Imaging, PC Past Accepting new patients
Sancor Medical Enterprises, LLC Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Stand-Up MRI of Manhattan, P.C. Past Accepting new patients
South Mountain Imaging PastSince Oct 9, 2019 Accepting new patients
Stand-Up MRI of Carle Place, P.C. PastSince Jan 10, 2003 Accepting new patients
Advanced Radiological Imaging-Astoria PC PastSince Nov 1, 2016 Accepting new patients
FRG Acmh PC Past Accepting new patients
FRG Central PA PC Past Accepting new patients
Diagnostic Radiology Assoc.,PA Specialist Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Vidya Malhotra Radiology PC Past Accepting new patients
Stand-Up MRI of the Bronx, P.C. PastSince Apr 30, 1996 Accepting new patients
Alpha Imaging Consultants, PLLC Past Accepting new patients
Foundation Radiology Group PC PastSince Jan 21, 2022 Accepting new patients
Geisinger Clinic Selinsgrove Past Accepting new patients
Stand-Up MRI of Deer Park, P.C. PastSince Aug 5, 2002 Accepting new patients
Monmouth Digestive Health LLC PastSince Aug 17, 2020 Accepting new patients
Health Diagnostics of New Jersey, LLC Past Accepting new patients
Stand-Up MRI of Queens, P.C. Past Accepting new patients
Diagnostic Imaging of New York IV, P.C. Past Accepting new patients
Damadian MRI in Canarsie, P.C. PastSince Jan 1, 1995 Accepting new patients
Howard Kessler MD PA Past Accepting new patients

Locations (25 of 31)

27443 Network Pl
Chicago, IL 60673

27695 Network Pl
Chicago, IL 60673

197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700

1339 Broad St
Clifton, NJ 07013
Phone (973) 778-9600

975 Clifton Ave
Ste 4
Clifton, NJ 07013
Phone (973) 778-8666

25 S Union Ave
Cranford, NJ 07016
Phone (908) 577-5500

161 E Main St
Denville, NJ 07834
Phone (973) 586-1212

600 Mount Pleasant Ave
Ste G
Dover, NJ 07801
Phone (973) 729-0002

620 Cranbury Rd
Ste 10
East Brunswick, NJ 08816
Phone (732) 698-1717

145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333

57 US Highway 46
Ste 212
Hackettstown, NJ 07840

651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161

657 Willow Grove St
Ste 205
Hackettstown, NJ 07840

17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

530 Green St
Lowr
Iselin, NJ 08830
Phone (732) 326-1515

120 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-0900

222 High St
Ste 101
Newton, NJ 07860
Phone (973) 383-1280

1275 State Route 35
North Middletown, NJ 07748
Phone (732) 275-0999

69 Orient Way
Rutherford, NJ 07070
Phone (201) 559-4140

89 Sparta Ave
Ste 110
Sparta, NJ 07871
Phone (973) 726-0498

89 Sparta Ave
Ste 120
Sparta, NJ 07871
Phone (973) 726-0002

157 Fries Mill Rd
Turnersville, NJ 08012
Phone (856) 677-1010

2770 Morris Ave
Union, NJ 07083
Phone (908) 686-0306

445 Chestnut St
Union, NJ 07083
Phone (908) 687-6054

Interoperability endpoints

  • Direct secure messaging: robert.waxman@direct.hobokenumc.md

Organizations & group practices 48

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1467422105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 ALLWOOD RD",
            "address_2": "SUITE 230",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121988",
            "telephone_number": "973-365-2750",
            "fax_number": "973-365-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BOULEVARD",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070552840",
            "telephone_number": "973-365-4300",
            "fax_number": "973-365-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAXMAN",
        "first_name": "ROBERT",
        "middle_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA6998700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8617201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Passaic, NJ

Sources for this page

Verify at the official NPI Registry.