Borough of Wanaque

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

26NR03129100 Issued in NJ

Legal business name

BOROUGH OF WANAQUE

Doing business as

Health Department

Practice address

579 Ringwood Avenue
Wanaque, NJ 07465-2013

Phone

(973) 839-3000

Fax

(973) 839-4959

NPI assigned

Jan 9, 2007

Last updated

Jul 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maryann Brindisi

Title

Chief Financial Officer

Phone

(973) 839-3000

Specialties & licenses 1

Addresses

Other names 1

• Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1881743201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 RINGWOOD AVENUE",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074652013",
            "telephone_number": "973-839-3000",
            "fax_number": "973-839-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 RINGWOOD AVENUE",
            "city": "WANAQUE",
            "state": "NJ",
            "postal_code": "074652013",
            "telephone_number": "973-839-3000",
            "fax_number": "973-839-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOROUGH OF WANAQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "BRINDISI",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "973-839-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NJ",
            "license": "26NR03129100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfa Development, Inc
• Danielle Amaya, MA, LPC
• Patricia A Bailey
• Bancroft a New Jersey Nonprofit Corporation
• Nicole Beshaw
• Jeffrey Thomas Bronzini, P.T.
• Amy Burgess, OTR/L
• Paula Marie Capella, OTR
• Diana Lisa Casianos, DNP, APN
• Complete Chiropractic PC

• Public Health & General Preventive Medicine Physician in Wanaque, NJ
• Providers in Wanaque, NJ by specialty
• Public Health & General Preventive Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.