Albert Wacha DPM

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

25MD00116900 Issued in NJ

Legal business name

ALBERT WACHA DPM

Practice address

31 Smull Ave
Caldwell, NJ 07006-5011

Phone

(973) 226-4848

Fax

(973) 226-7529

NPI assigned

Mar 7, 2008

Last updated

Jun 23, 2021By 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

Albert J WachaNPI 1407954324

Title

Doctor

Phone

(973) 226-4848

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Albert J Wacha, DPM

  • Primary Podiatric Medicine Podiatrist
  • Caldwell, NJ
  • NPI 1407954324
  Authorized official Same address or phone
• Douglas J McKay, DPM

  • Podiatrist
  • Caldwell, NJ
  • NPI 1962428789
  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1649440447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SMULL AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065011",
            "telephone_number": "973-226-4848",
            "fax_number": "973-226-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SMULL AVE",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065011",
            "telephone_number": "973-226-4848",
            "fax_number": "973-226-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT WACHA DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "WACHA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "973-226-4848"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NJ",
            "license": "25MD00116900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adult Community Engagement Services, Inc. (Capstone21, Inc.)
• Advanced Acupuncture Caldwell LLC
• Advanced Chiropractic Rehab Center PC
• Dilek Altay, SLP
• William Thomas Anastasio, SLP
• Frank Andrisani, PHD
• Christie Ann Arnhols
• Melissa Arnot, OTR/L

• Prosthetic/Orthotic Supplier in Caldwell, NJ
• Providers in Caldwell, NJ by specialty
• Prosthetic/Orthotic Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.