Middlesex Thoracic Medical Group

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MA70513 Issued in NJ

Legal business name

MIDDLESEX THORACIC MEDICAL GROUP

Practice address

58 Valley Forge Dr
East Brunswick, NJ 08816-3278

Phone

(732) 698-7344

Fax

(413) 513-7664

NPI assigned

Feb 20, 2008

Last updated

Mar 14, 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

Dr. Howard Kenneth Waksman, MD

Title

Owner

Phone

(732) 698-7344

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1962671214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 VALLEY FORGE DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163278",
            "telephone_number": "732-698-7344",
            "fax_number": "413-513-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 VALLEY FORGE DR",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163278",
            "telephone_number": "732-698-7344",
            "fax_number": "413-513-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX THORACIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "WAKSMAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-698-7344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA70513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MH Medical Center, LLC
• Rachana R Mhatre, OTR/L
• Michael Grizzaffi, D.M.D., P.a.
• Mid Atlantic Orthopedic Associates LLP
• Middlesex County Office of Health Services
• Marian B. Mikaile
• Salwa Mikhail Samwail Mikhail, MD
• Vairona Mikhail, O.D.
• Simona Miladinoska
• Donna Miles-Gillick, PT

• Pulmonary Disease Physician in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.