NPIMap

Individual provider Active NPI

Magda Eraiba, M.D,

  • Internal Medicine Physician
  • Wayne, NJ
National Provider Identifier
1841327384
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA57647 Issued in NJ
Practice address
510 Hamburg Tpke Ste 208
Wayne, NJ 07470-2033
Phone
(973) 904-3480
Fax
(973) 904-3485
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA57647 NJ Primary

Addresses

Primary practice location

510 Hamburg Tpke Ste 208
Wayne, NJ 07470-2033

Mailing address

510 Hamburg Tpke Ste 208
Wayne, NJ 07470-2033
Phone (973) 904-3480

Other identifiers 1

IdentifierTypeStateIssuer
5539501MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050708000019 NJ Practitioner - Internal Medicine 5193761724 Reassigns benefits to 1 organization
Practice locations: Wayne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 Hamburg Tpke
Suite 208
Wayne, NJ 07470-2033
Phone (973) 904-3480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA57647NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Medical Health Professional Corporation Internal Medicine CurrentSince Oct 1, 2016 Accepting new patients
Eraibe & Eraiba Internal Medicine Internal Medicine PastSince Oct 1, 2016 Accepting new patients
County of Passaic Department of Finance Past Accepting new patients

Locations

510 Hamburg Tpke
Ste 208
Wayne, NJ 07470
Phone (973) 904-3480

Interoperability endpoints

  • Direct secure messaging: magda.eraiba@eraibainternalmeds.ehi.direct-ci.com

Organizations & group practices 3

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841327384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE STE 208",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702033",
            "telephone_number": "973-904-3480",
            "fax_number": "973-904-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE STE 208",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702033",
            "telephone_number": "973-904-3480",
            "fax_number": "973-904-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERAIBA",
        "first_name": "MAGDA",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA57647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5539501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.