Wayne Physical Medicine & Rehabilitation Associates

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

WAYNE PHYSICAL MEDICINE & REHABILITATION ASSOCIATES

Practice address

401 Hamburg Tpke
Suite 105
Wayne, NJ 07470-2154

Phone

(973) 595-6066

Fax

(973) 595-1127

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philippe Chemaly, D.O.

Title

President

Phone

(973) 595-6066

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1992825558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-595-6066",
            "fax_number": "973-595-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUITE 105",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "973-595-6066",
            "fax_number": "973-595-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PHYSICAL MEDICINE & REHABILITATION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CHEMALY",
        "authorized_official_first_name": "PHILIPPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-595-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7366701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Obstetrics & Gynecology Associates P C
• Wayne Optometric Associates LLC
• Wayne Orthodontics LLC
• Wayne Orthopedic Physical Therapy, PC
• Wayne Pathologists PA
• Wayne Physical Therapy LLC
• Wayne Primary Care, P.a.
• Wayne Radiology Associates,LLC
• Wayne Radiology Center Co
• Wayne Radiology Center LLC

• Physical Medicine & Rehabilitation Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.