DR. RUDOLPH STEVEN WAGNER (NPI# 1366484222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366484222 |
| Entity Type | Individual |
| Full Name | DR. RUDOLPH STEVEN WAGNER |
| Credential | M.D. |
| Practice Address |
1 Clara Maass Drive Belleville NJ 07109-3550 |
| Practice Telephone | 9737511702 |
| Practice Fax Number | 9734505964 |
| Mailing Telephone | 9737511702 |
| Mailing Fax Number | 9734505964 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 25MA03649700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3070107-01 | 05 | |
| NJ | 3070107 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154556132 | Rudolph Michael Wagner | Dentist | 523 Nc Highway 125, Roanoke Rapids, NC 27870-6447 | 2009-05-20 |
| Street Address |
1 CLARA MAASS DRIVE |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634287 | Branch Brook Hospital Physicians, P.a. | General Practice | 1 Clara Maass Drive, Belleville, NJ 07109-3550 | 2005-08-01 |
| 1891145892 | Michelle Tavares | Dietitian, Registered | 1 Clara Maass Drive, Belleville, NJ 07109 | 2016-06-21 |
| 1760705719 | Jamie Baux-johnson | Emergency Medicine | 1 Clara Maass Drive, Belleville, NJ 07109 | 2010-03-04 |
| 1982837027 | Margaret P. Ryan | Nurse Practitioner | 1 Clara Maass Drive, Clara Maass Medical Center, Belleville, NJ 07109 | 2009-08-24 |
| 1598922981 | Andrey Silkov | Internal Medicine | 1 Clara Maass Drive, Clara Maass Medical Center, Belleville, NJ 07109-0000 | 2008-05-22 |
| 1891849808 | Essex Radiation Oncology PC | Radiology | 1 Clara Maass Drive, Belleville, NJ 07109 | 2007-01-23 |
| 1285744425 | Jolanta Rejowska Cedrowski | Anesthesiology | 1 Clara Maass Drive, Belleville, NJ 07109 | 2006-08-30 |
| 1194738708 | Maged Moussa Gerges | Anesthesiology | 1 Clara Maass Drive, Belleville, NJ 07109 | 2006-08-14 |
| 1962432799 | Ahmed K Abou-taleb | Specialist | 1 Clara Maass Drive, Belleville, NJ 07109-3550 | 2006-07-04 |
| 1093759649 | Robert Anthony Giles | Emergency Medicine | 1 Clara Maass Drive, Clara Maass Medical Center (emergency Department), Belleville, NJ 07109 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356570873 | Jerome Valerian Basinski | Ophthalmology | 50 Kings Pointe, Belleville, IL 62223-2268 | 2009-07-06 |
| 1841479441 | Eugene A Chiappetta Md Pa | Ophthalmology | Five Franklin Ave, Suite 610, Belleville, NJ 07109-3566 | 2007-10-31 |
| 1336363431 | Drs Szewczyk & Nekola LLC | Ophthalmology | 4900 West Main Street, Belleville, IL 62226-4725 | 2007-04-12 |
| 1356312508 | Michael J Landolfi | Ophthalmology | 567 Franklin Ave, Belleville, NJ 07109-1540 | 2006-01-27 |
| 1841289014 | Eric S Mann | Ophthalmology | 4550 Memorial Dr Ste 350, Belleville, IL 62226-5372 | 2005-10-19 |
| 1245226703 | Paul Stanley Szewczyk | Ophthalmology | 4900 W Main St, Belleville, IL 62226-4725 | 2005-09-21 |
| 1407851157 | Donald Richard Unwin | Ophthalmology | 111 W Lincoln St, Belleville, IL 62220-2019 | 2005-06-19 |
| 1588682876 | Eugene Achille Chiappetta | Ophthalmology | 5 Franklin Ave, Suite 610, Belleville, NJ 07109-3532 | 2006-07-17 |
| 1659307858 | Eye Surgeons and Physicians, Pa | Ophthalmology | 5 Franklin Ave, Suite 209, Belleville, NJ 07109-3532 | 2006-06-23 |
| 1366482838 | Vitreo Retinal Associates of Nj Pa | Ophthalmology | 36 Newark Ave, Suite 212, Belleville, NJ 07109-4119 | 2006-06-06 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.