Active NPI
Yazan Vwich, MD
- Endocrinology, Diabetes & Metabolism Physician
- North Bergen, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 25MA10818700
- Practice address
- 6045 Kennedy Blvd
North Bergen, NJ 07047-3246 - Phone
- (201) 453-0322
- NPI assigned
- Aug 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA10818700 | NJ | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 25MA10818700 | NJ | Primary |
Addresses
Primary practice location
6045 Kennedy Blvd
North Bergen, NJ 07047-3246
Mailing address
331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688
Other practice location 1
22-18 Broadway Ste 101
Fair Lawn, NJ 07410-3016
Phone (201) 797-4503
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6045 Kennedy Blvd
North Bergen, NJ 07047-3246
Phone (201) 861-4443
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10818700 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Multi-Specialty | Current | Accepting new patients |
| Medical Associates of Englewood, PC | Multi-Specialty | Current | Accepting new patients |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Physician Partners of Englewood, PC | Multi-Specialty | Past | Accepting new patients |
| Hackensack Meridian Health Medical Group - Primary Care PC | Multi-Specialty | Past | Accepting new patients |
| Hackensack Meridian Health Medical Group - Complex Care PC | Multi-Specialty | Past | Accepting new patients |
Locations
22-18 Broadway
Ste 101
Fair Lawn, NJ 07410
Phone (201) 773-0887
22-18 Broadway
Ste 104
Fair Lawn, NJ 07410
Phone (201) 773-0887
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
5 Marine View Plz
Ste 101B
Hoboken, NJ 07030
Phone (848) 308-4105
6045 Kennedy Blvd
North Bergen, NJ 07047
Phone (201) 861-4443
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514
1500 Alps Rd
Wayne, NJ 07470
Phone (973) 628-8500
Interoperability endpoints
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 6
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
Multi-Specialty
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Multi-Specialty
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Multi-Specialty
-
- Internal Medicine Physician
- Jersey City, NJ
- NPI 1154671501
Multi-Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1528444536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD",
"address_2": "BLDG 2, STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6045 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070473246",
"telephone_number": "201-453-0322"
}
],
"practiceLocations": [
{
"address_1": "22-18 Broadway Ste 101",
"address_purpose": "LOCATION",
"city": "Fair Lawn",
"state": "NJ",
"postal_code": "074103016",
"country_code": "US",
"telephone_number": "201-797-4503",
"fax_number": "201-797-4505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VWICH",
"first_name": "YAZAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-03",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10818700",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NJ",
"license": "25MA10818700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
- 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.