Active NPI
Wayne Cardiology,LLC
- Cardiovascular Disease Physician
- Wayne, NJ
National Provider Identifier
1497072193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MA057900
- Legal business name
- WAYNE CARDIOLOGY,LLC
- Practice address
- 510 Hamburg Tpke
Suite 107
Wayne, NJ 07470-2025 - Phone
- (973) 942-7377
- Fax
- (973) 942-7030
- NPI assigned
- Apr 21, 2010
- 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. Emile Doss, MD
- Title
- President
- Phone
- (973) 942-7377
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MA057900 | NJ | Primary |
Addresses
Primary practice location
510 Hamburg Tpke
Suite 107
Wayne, NJ 07470-2025
Mailing address
689 King Rd
Franklin Lakes, NJ 07417-1731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7633505 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Wayne Cardiology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Wayne, NJ
- NPI 1013128602
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Wayne, NJ
- NPI 1699790931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1497072193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 KING RD",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074171731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HAMBURG TPKE",
"address_2": "SUITE 107",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702025",
"telephone_number": "973-942-7377",
"fax_number": "973-942-7030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE CARDIOLOGY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-21",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "DOSS",
"authorized_official_first_name": "EMILE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-942-7377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MA057900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7633505",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.