Reginald Wayne

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

307421-1 Issued in NY

Practice address

3924 E Tremont Ave
Bronx, NY 10465-2900

Phone

(718) 409-6500

Fax

(718) 239-1295

NPI assigned

Jun 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1881956704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652900",
            "telephone_number": "718-409-6500",
            "fax_number": "718-239-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652900",
            "telephone_number": "718-409-6500",
            "fax_number": "718-239-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "REGINALD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "307421-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SS#",
            "identifier": "0744",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony John Wavrin
• Richard Waxman, PH.D.
• Way to Rehab PT PC
• Wayne Center for Nursing and Rehabilitation
• Nickosha Alisa Wayne, LCSW
• Varad Vivekrao Wazarkar, MBBS
• We Care Health & Medical Services, P.C.
• We Care Medical PC
• We Care Women'S Health, PC
• We Care Womens Health, P.C.

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.