Active NPI
Keith Wyche
- Cardiovascular Disease Physician
- Freehold, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA10968400
- Practice address
- 901 W Main St Ste 205
Freehold, NJ 07728-2537 - Phone
- (732) 866-0800
- Fax
- (732) 866-0018
- NPI assigned
- Aug 15, 2005
- Last updated
- May 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA10968400 | NJ | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 22925 | SC |
Addresses
Primary practice location
901 W Main St Ste 205
Freehold, NJ 07728-2537
Mailing address
379 Campus Dr FL 4
Somerset, NJ 08873-1161
Other practice location 1
2376 Cypress Cir
Suite 102
Conway, SC 29526-8964
Phone (843) 347-8953
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | keith.e.wyche@upmcdirect.com | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Minnesota Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 W Main St
Suite 205
Freehold, NJ 07728-2537
Phone (732) 866-0800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 55.31
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.8
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 65.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301495 | NY | MD | Licensed Practical Nurse |
| 22925 | SC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart Specialists of Central Jersey | Cardiovascular Disease | Current | Accepting new patients |
| Robert Wood Johnson Physician Enterprise | Cardiovascular Disease | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
901 W Main St
Ste 205
Freehold, NJ 07728
Phone (732) 866-0800
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
875 Poplar Church Rd
Ste 400
Camp Hill, PA 17011
Phone (717) 975-0900
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000
824 Main St
Ste 306
Phoenixville, PA 19460
Phone (610) 644-7755
296 W Ridge Pike
Royersford, PA 19468
Phone (484) 706-9465
3025 Zinn Rd
Thorndale, PA 19372
Phone (610) 384-2211
301 S 7th Ave
Ste 2020
West Reading, PA 19611
Interoperability endpoints
- keith.e.wyche@upmcdirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Somerset, NJ
- NPI 1245587922
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Freehold, NJ
- NPI 1144265828
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
dba Cardiology Limerick Tower Health Medical Group
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
Cardiovascular Disease
-
dba Internal Medicine - Tower Health Medical Group
- Internal Medicine Physician
- Birdsboro, PA
- NPI 1609291350
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freehold, NJ
- NPI 1295718450
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1710989264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 CAMPUS DR FL 4",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST STE 205",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-866-0800",
"fax_number": "732-866-0018"
}
],
"practiceLocations": [
{
"address_1": "2376 Cypress Cir",
"address_2": "SUITE 102",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268964",
"country_code": "US",
"telephone_number": "843-347-8953",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYCHE",
"first_name": "KEITH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA10968400",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "22925",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "keith.e.wyche@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.