Active NPI
Magdy Wahba, MD
- Pulmonary Disease Physician
- Wayne, NJ
National Provider Identifier
1548712847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 25MA03806500
- Legal business name
- MAGDY WAHBA, MD
- Practice address
- 401 Hamburg Tpke Ste 310
Wayne, NJ 07470-2139 - Phone
- (973) 790-5300
- NPI assigned
- Nov 3, 2016
- Last updated
- Nov 3, 2016
- 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
- Magdy Wahba, MD
- Title
- Physician
- Phone
- (917) 626-0877
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA03806500 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA03806500 | NJ | Primary |
Addresses
Primary practice location
401 Hamburg Tpke Ste 310
Wayne, NJ 07470-2139
Mailing address
PO Box 665
Ridgewood, NJ 07451-0665
Phone (973) 790-0900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 439682 | Other | NJ | MEDICARE |
| 0218502 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478131200000",
"number": "1548712847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 665",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074510665",
"telephone_number": "973-790-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HAMBURG TPKE STE 310",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074702139",
"telephone_number": "973-790-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGDY WAHBA, MD",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-03",
"last_updated": "2016-11-03",
"status": "A",
"authorized_official_last_name": "WAHBA",
"authorized_official_first_name": "MAGDY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "917-626-0877",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA03806500",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA03806500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "439682",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0218502",
"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 Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.