Takashi Wakamore, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

TAKASHI WAKAMORE, MD

Practice address

810 Abbott Blvd
Fort Lee, NJ 07024-4151

Phone

(201) 592-8555

Fax

(201) 592-8501

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By 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

Takashi Wakamori, MD

Title

Physician

Phone

(201) 592-8555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982759346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ABBOTT BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244151",
            "telephone_number": "201-592-8555",
            "fax_number": "201-592-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 ABBOTT BLVD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244151",
            "telephone_number": "201-592-8555",
            "fax_number": "201-592-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKASHI WAKAMORE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAKAMORI",
        "authorized_official_first_name": "TAKASHI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-592-8555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.