Individual provider Active NPI

Wendy Gayle Nach, D.P.M

  • Foot Surgery Podiatrist
  • Fair Lawn, NJ
National Provider Identifier
1831116607
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
25MD00182700 Issued in NJ
Practice address
15-01 Broadway
30C
Fair Lawn, NJ 07410-6003
Phone
(201) 794-6656
Fax
(201) 794-7642
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 25MD00182700 NJ Primary
Podiatrist 213E00000X MD001827 NJ

Addresses

Primary practice location

15-01 Broadway
30C
Fair Lawn, NJ 07410-6003

Mailing address

15-01 Broadway
30C
Fair Lawn, NJ 07410-6003
Phone (201) 794-6656

Other identifiers 4

IdentifierTypeStateIssuer
1093105OtherNJHORIZONNJHEALTH
4619404MedicaidNJ
F13733OtherNJHEALTH NET
0114531000OtherNJAMERIHEALTH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505001020 NJ Practitioner - Podiatry 7517955701 Practice locations: Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 -01 Broadway
Suite 30C
Fair Lawn, NJ 07410-6026
Phone (201) 794-6656

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue535
Removal or shaving of skin growth219
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD001827NJMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Nach DPM Podiatrist CurrentSince Oct 10, 1988 Accepting new patients
Baker Street Health in Motion PC PastSince Jul 1, 2024 Accepting new patients

Locations

15-01 Broadway
Fair Lawn, NJ 07410
Phone (201) 703-8487

15-01 Broadway
Ste 30C
Fair Lawn, NJ 07410
Phone (201) 585-0853

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.200011
  • Direct secure messaging: wendy.nach@drnach.gwaydirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1831116607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "30C",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-794-6656",
            "fax_number": "201-794-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-01 BROADWAY",
            "address_2": "30C",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074106003",
            "telephone_number": "201-794-6656",
            "fax_number": "201-794-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACH",
        "first_name": "WENDY",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "25MD00182700",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD001827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZONNJHEALTH",
            "identifier": "1093105",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4619404",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "F13733",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0114531000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.