David Wild, MD PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA08328000 Issued in NJ

Legal business name

DAVID WILD, MD PC

Practice address

344 Van Nostrand Ave
Englewood, NJ 07631-4725

Phone

(917) 971-7602

NPI assigned

Dec 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David Wild, MDNPI 1013112671

Title

President

Phone

(917) 971-7602

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Marc Wild, MD

  • Cardiovascular Disease Physician
  • Teaneck, NJ
  • NPI 1013112671
  NPD Authorized official

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1699079129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 VAN NOSTRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 VAN NOSTRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314725",
            "telephone_number": "917-971-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID WILD, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "WILD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-971-7602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08328000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinnidhy H Dave, DO
• Heidy Davenport
• David Lawrence Abramson MD PC
• David N Feldman MD LLC
• David Podkameni MD LLC
• Joseph David, D.O.
• Rochel Surick David, PH.D.
• Melissa Davidson, MD
• Christian Davis, PH.D.
• Damien Ian Davis, M.D.

• Cardiovascular Disease Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.