Active NPI
Paul H Wichman, MD
- Internal Medicine Physician
- Netcong, NJ
National Provider Identifier
1760534879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA039719
- Practice address
- 39 Maple Avenue
Netcong, NJ 07857 - Phone
- (973) 347-4121
- Fax
- (973) 347-1545
- NPI assigned
- Jan 17, 2007
- Last updated
- Sep 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA039719 | NJ | Primary |
Addresses
Primary practice location
39 Maple Avenue
Netcong, NJ 07857
Mailing address
39 Maple Avenue
Netcong, NJ 07857
Phone (973) 347-4121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1917102 | Medicaid | NJ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928001281 | NJ | Practitioner - Internal Medicine | 6800912767 | Practice locations: Netcong, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
39 Maple Ave
Netcong, NJ 07857-1105
Phone (973) 347-4121
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA039719 | NJ | MD | Internal Medicine Physician |
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackettstown, NJ
- NPI 1518969419
-
dba Morristown Medical Center
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
dba Atlantic Home Care & Hospice
- Home Health Agency
- Morristown, NJ
- NPI 1962479667
-
dba Saint Clare's Hospital
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1760534879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 MAPLE AVENUE",
"city": "NETCONG",
"state": "NJ",
"postal_code": "07857",
"telephone_number": "973-347-4121",
"fax_number": "973-347-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 MAPLE AVENUE",
"city": "NETCONG",
"state": "NJ",
"postal_code": "07857",
"telephone_number": "973-347-4121",
"fax_number": "973-347-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICHMAN",
"first_name": "PAUL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA039719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1917102",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Netcong, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.