Wayne Ellis Narucki, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA07843900 Issued in NJ

Practice address

33 Lincoln Ave
Red Wheelbarrow Pediatrics
Rutherford, NJ 07070-2167

Phone

(201) 340-2468

Fax

(201) 623-9381

NPI assigned

Apr 20, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: wayne.narucki.1@8738.direct.athenahealth.com

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1902861818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LINCOLN AVE",
            "address_2": "RED WHEELBARROW PEDIATRICS",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702167",
            "telephone_number": "201-340-2468",
            "fax_number": "201-623-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LINCOLN AVE",
            "address_2": "RED WHEELBARROW PEDIATRICS",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702167",
            "telephone_number": "201-340-2468",
            "fax_number": "201-623-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARUCKI",
        "first_name": "WAYNE",
        "middle_name": "ELLIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA07843900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.