Active NPI
Wayne Fleishhacker, DO, LLC
- Pain Medicine Physician
- Kinnelon, NJ
National Provider Identifier
1811388432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- WAYNE FLEISHHACKER, DO, LLC
- Practice address
- 135 Kinnelon Rd
Suite 206
Kinnelon, NJ 07405-2333 - Phone
- (973) 291-8441
- NPI assigned
- Feb 18, 2015
- 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
- Mr. Wayne Fleishhacker, DO
- Title
- President
- Phone
- (973) 291-8442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
135 Kinnelon Rd
Suite 206
Kinnelon, NJ 07405-2333
Mailing address
135 Kinnelon Rd
Suite 206
Kinnelon, NJ 07405-2333
Phone (973) 291-8441
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424217600000",
"number": "1811388432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 KINNELON RD",
"address_2": "SUITE 206",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052333",
"telephone_number": "973-291-8441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 KINNELON RD",
"address_2": "SUITE 206",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052333",
"telephone_number": "973-291-8441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE FLEISHHACKER, DO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-18",
"last_updated": "2015-02-18",
"status": "A",
"authorized_official_last_name": "FLEISHHACKER",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-291-8442",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kinnelon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.