Active NPI
Observation Medicine Specialists
- Hospitalist Physician
- Freehold, NJ
National Provider Identifier
1730619958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- OBSERVATION MEDICINE SPECIALISTS
- Practice address
- 901 W Main St
Freehold, NJ 07728-2537 - Phone
- (732) 294-2666
- Fax
- (732) 431-8267
- NPI assigned
- Jun 20, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Waciega
- Title
- Managing Partner
- Phone
- (732) 294-2666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
901 W Main St
Freehold, NJ 07728-2537
Mailing address
901 W Main St
Freehold, NJ 07728-2537
Phone (732) 294-2666
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1730619958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-294-2666",
"fax_number": "732-431-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MAIN ST",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282537",
"telephone_number": "732-294-2666",
"fax_number": "732-431-8267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBSERVATION MEDICINE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WACIEGA",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "732-294-2666",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.