Individual provider Active NPI

Wayne Macfadden, MD

  • Psychiatry Physician
  • Haddonfield, NJ
National Provider Identifier
1558500199
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA06787400 Issued in NJ
Practice address
139 Merion Ave
Haddonfield, NJ 08033-1410
Phone
(856) 428-1713
NPI assigned
Feb 4, 2009
Last updated
Feb 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA06787400 NJ Primary

Addresses

Primary practice location

139 Merion Ave
Haddonfield, NJ 08033-1410

Mailing address

139 Merion Ave
Haddonfield, NJ 08033-1410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531001348 PA Practitioner - Psychiatry 8921351115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York at Buffalo School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holcomb Associates IncGroup PAC ID 8729992458, 18 clinicians

Practice addresses (Care Compare)

225 S 69TH St
Upper Darby, PA 19082-4212
Phone (610) 352-8943

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06787400NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holcomb Associates, Inc. CurrentSince Apr 21, 2024 Accepting new patients
Holcomb Associates, Inc CurrentSince Apr 21, 2024 Accepting new patients
Holcomb Behavioral Health Systems Past Accepting new patients

Locations

929 Northampton St
Easton, PA 18042
Phone (610) 330-9862

467 Creamery Way
Exton, PA 19341

920 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 388-7400

225 S 69th St
Upper Darby, PA 19082
Phone (610) 352-8943

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1558500199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MERION AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MERION AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331410",
            "telephone_number": "856-428-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACFADDEN",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA06787400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.