Stephen J. Wyrwa, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

22DI2120600 Issued in NJ

Practice address

216 Finderne Ave
Bridgewater, NJ 08807-3046

Phone

(908) 722-6116

NPI assigned

Jul 2, 2009

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 216 Finderne Dental P.a.

  • Dentist
  • Bridgewater, NJ
  • NPI 1497423966
  NPD (past)
• Paul D. Kaplan,D.M.D.,P.a.

  • General Practice Dentistry
  • Bridgewater, NJ
  • NPI 1619075777
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1487883161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FINDERNE AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073046",
            "telephone_number": "908-722-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FINDERNE AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073046",
            "telephone_number": "908-722-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRWA",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI2120600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna R. Woltz, M.D.
• Derek Wood, OT
• Brandon Woolley
• Diane Wormser, PT, MS
• Holli Michelle Wright, MS, PT
• Geeta Yalamanchi, MD
• Vinay Yalamanchi, DO
• Bin Yang, MD
• Emily Irene Yang, LCSW
• Zeng-Tong Yang, M.D.

• All providers in Bridgewater, NJ
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.