James W. Dwyer, MD
Individual provider Active NPI Orthopaedic Surgery of the Spine Physician · Bedminster, NJ
NPI 1629072541 · NPPES record last updated Nov 15, 2016
Key facts
- NPI
- 1629072541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- 25MA04418500 (NJ)
- Practice address
- 1 Robertson Drive
Suite 11
Bedminster, NJ 07921 - Phone
- (908) 324-9200
- Fax
- (908) 722-6318
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 7, 2014 through Feb 7, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jdwyer59352@epicdirect.rwjbh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA04418500 | NJ | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 25MA04418500 | NJ | Yes |
Addresses
Primary practice location
1 Robertson Drive
Suite 11
Bedminster, NJ 07921
Mailing address
1 Robertson Drive
Suite 11
Bedminster, NJ 07921
Phone (908) 324-9200
Other providers in Bedminster, NJ
- Shawn Doucette
- Drift Counseling
- Kathryn Dunbar
- Dungarvin New Jersey, LLC-Sage
- Beth Anne Dwyer
- Keren Ebel
- Edward G Johnson, DMD, PC
- Gabriel Eisner
- Katherine Elman
- Energy Essence LLC
All providers in Bedminster, NJ · Orthopaedic Surgery of the Spine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.