Individual provider Active NPI

Wayne G Fellmeth, MD

  • Pediatrics Physician
  • Flemington, NJ
National Provider Identifier
1891769857
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA44346 Issued in NJ
Practice address
6 Sand Hill Rd
Suite 202
Flemington, NJ 08822-4946
Phone
(908) 782-6700
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA44346 NJ Primary

Addresses

Primary practice location

6 Sand Hill Rd
Suite 202
Flemington, NJ 08822-4946

Mailing address

6 Sand Hill Rd Ste 102
Flemington, NJ 08822-4946
Phone (908) 782-6700

Other identifiers 1

IdentifierTypeStateIssuer
1132300MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wayne.fellmeth.p22@direct.hunterdon.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA44346NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1891769857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD STE 102",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-782-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SAND HILL RD",
            "address_2": "SUITE 202",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224946",
            "telephone_number": "908-782-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLMETH",
        "first_name": "WAYNE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA44346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1132300",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wayne.fellmeth.p22@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Sand Hill Rd Ste 102",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088224946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.