Montville Park Physician Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA061582 Issued in NJ

Legal business name

MONTVILLE PARK PHYSICIAN ASSOCIATES

Practice address

150 River Rd
Suite N1
Montville, NJ 07045-9441

Phone

(973) 263-9900

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wagih Wassef, M.D.NPI 1588760094

Title

President

Phone

(973) 263-9900

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wagih Girgis Wassef, MD

  • Internal Medicine Physician
  • Montville, NJ
  • NPI 1588760094
  Medicare reassignment Authorized official
• Surbparkash Kaur Singh, M.D.

  • Pediatrics Physician
  • Montville, NJ
  • NPI 1891966024
  NPD (past)
• Suzy G Sedrak, MD

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1649318973
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1528231875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVER RD",
            "address_2": "SUITE N1",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459441",
            "telephone_number": "973-263-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER RD",
            "address_2": "SUITE N1",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459441",
            "telephone_number": "973-263-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE PARK PHYSICIAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "WASSEF",
        "authorized_official_first_name": "WAGIH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-263-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA061582",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA081421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6806104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montville Endodontics, LLC
• Montville Family Practice Associates, PA
• Montville Medical, LLC
• Montville Oral Surgery Associates, L.L.C.
• Montville Orthodontic Associates
• Montville Pharmacy NJ Corp
• Montville Physical Therapy, PC
• Montville Senior Care, LLC
• Montville Township Board of Education
• Mountain Falls Dermatology

• Internal Medicine Physician in Montville, NJ
• Providers in Montville, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.

Verify at the official NPI Registry.