Active NPI
Ann Wry,MD., LLC
- Primary Care Clinic/Center
- Rochelle Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 25MA06650300
- Legal business name
- ANN WRY,MD., LLC
- Practice address
- 114 Essex St
Rochelle Park, NJ 07662-4335 - Phone
- (201) 368-0201
- Fax
- (201) 368-0346
- NPI assigned
- May 15, 2009
- 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. Ann M Wry, MD
- Title
- Owner
- Phone
- (201) 368-0201
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 |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 25MA06650300 | NJ | Primary |
Addresses
Primary practice location
114 Essex St
Rochelle Park, NJ 07662-4335
Mailing address
114 Essex St
Rochelle Park, NJ 07662-4335
Phone (201) 368-0201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159767 | Other | NJ | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1106798 | Ann Wry MD LLC | Certificate of waiver | Oct 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
114 Essex St
Rochelle Park, NJ 07662
Phone (201) 368-0201
114 Essex St
Fl 2
Rochelle Park, NJ 07662
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Rochelle Park, NJ
- NPI 1013964204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261526400000",
"number": "1497980734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 ESSEX ST",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076624335",
"telephone_number": "201-368-0201",
"fax_number": "201-368-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 ESSEX ST",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076624335",
"telephone_number": "201-368-0201",
"fax_number": "201-368-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANN WRY,MD., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-15",
"last_updated": "2009-12-23",
"status": "A",
"authorized_official_last_name": "WRY",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-368-0201",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NJ",
"license": "25MA06650300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "159767",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochelle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.