NPIMap

Individual provider Active NPI

Daniel J Wilkin, DO

  • Family Medicine Physician
  • Oradell, NJ
National Provider Identifier
1922092121
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07894000 Issued in NJ
Practice address
680 Kinderkamack Rd
Suite 205
Oradell, NJ 07649-1600
Phone
(201) 262-0608
Fax
(201) 262-8689
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07894000 NJ Primary

Addresses

Primary practice location

680 Kinderkamack Rd
Suite 205
Oradell, NJ 07649-1600

Mailing address

680 Kinderkamack Rd
Suite 205
Oradell, NJ 07649-1600
Phone (201) 262-0608

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
I20051108000119 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Hospice/Palliative Care 8921063793 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

350 Engle St
Englewood, NJ 07631-1808
Phone (201) 894-3158

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07894000NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Geriatric Care, LLC Family Medicine CurrentSince Sep 1, 2012 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Jan 22, 2018 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Jan 1, 2015 Accepting new patients
Sovereign Medical Group LLC CurrentSince Jan 1, 2015 Accepting new patients
Elderpath Medical PC PastSince Jan 7, 2012 Accepting new patients
Robert Pearson DO PA Family Medicine PastSince Dec 1, 2008 Accepting new patients

Locations

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050

22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

700 Kinderkamack Rd
Ste 202
Oradell, NJ 07649
Phone (201) 387-2003

680 Kinderkamack Rd
Ste 205
Oradell, NJ 07649
Phone (201) 262-0608

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

Interoperability endpoints

  • Direct secure messaging: dwilkin235896@direct.englewoodhealth.org

Organizations & group practices 6

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

Hospital & facility affiliations 11

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1922092121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 KINDERKAMACK RD",
            "address_2": "SUITE 205",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491600",
            "telephone_number": "201-262-0608",
            "fax_number": "201-262-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 KINDERKAMACK RD",
            "address_2": "SUITE 205",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491600",
            "telephone_number": "201-262-0608",
            "fax_number": "201-262-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKIN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07894000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

Verify at the official NPI Registry.