Joseph J Wallis & Joseph P Maugeri

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MB02488400 Issued in NJ

Legal business name

JOSEPH J WALLIS & JOSEPH P MAUGERI

Doing business as

Townsquare Ob-Gyn

Practice address

600 Mt Pleasant Ave
Suite G
Dover, NJ 07801-1630

Phone

(973) 989-9000

Fax

(973) 989-8225

NPI assigned

Dec 19, 2006

Last updated

Jan 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph J Wallis, D.O.NPI 1285672154

Title

Partner

Phone

(973) 989-9000

Specialties & licenses 2

Addresses

Other names 1

• Townsquare Ob-Gyn Doing business as

Locations

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.

• Joseph J Wallis, DO

  • Obstetrics & Gynecology Physician
  • Dover, NJ
  • NPI 1285672154
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1639233489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MT PLEASANT AVE",
            "address_2": "SUITE G",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011630",
            "telephone_number": "973-989-9000",
            "fax_number": "973-989-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MT PLEASANT AVE",
            "address_2": "SUITE G",
            "city": "DOVER",
            "state": "NJ",
            "postal_code": "078011630",
            "telephone_number": "973-989-9000",
            "fax_number": "973-989-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J WALLIS & JOSEPH P MAUGERI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-989-9000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB02488400",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05912400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Townsquare Ob-Gyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Dover, NJ
• Providers in Dover, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.