Active NPI
Michael Peter Wujciak, MD
- Orthopaedic Surgery Physician
- Nutley, NJ
National Provider Identifier
1760560106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MA35410 MA00035410
- Practice address
- 181 Franklin Ave
Suite 305
Nutley, NJ 07110 - Phone
- (973) 667-8414
- Fax
- (973) 667-8547
- NPI assigned
- Nov 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MA35410 MA00035410 | NJ | Primary |
Addresses
Primary practice location
181 Franklin Ave
Suite 305
Nutley, NJ 07110
Mailing address
4 Boxwood Rd
West Caldwell, NJ 07006
Phone (973) 228-9320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA35410 MA00035410 | NJ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1760560106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BOXWOOD RD",
"city": "WEST CALDWELL",
"state": "NJ",
"postal_code": "07006",
"telephone_number": "973-228-9320",
"fax_number": "973-226-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 FRANKLIN AVE",
"address_2": "SUITE 305",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "07110",
"telephone_number": "973-667-8414",
"fax_number": "973-667-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUJCIAK",
"first_name": "MICHAEL",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA35410 MA00035410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.