MARC DOUGLAS WAGER (NPI# 1649360462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649360462 |
| Entity Type | Individual |
| Full Name | MARC DOUGLAS WAGER |
| Credential | MD |
| Practice Address |
140 Lockwood Ave New Rochelle NY 10801-4915 |
| Practice Telephone | 9142353800 |
| Practice Fax Number | 9142358185 |
| Mailing Telephone | 9142353800 |
| Mailing Fax Number | 9142358185 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 153310 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
140 LOCKWOOD AVE |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10801-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891784526 | Jennifer C Pichardo | Dentist | 140 Lockwood Ave, Suite 215, New Rochelle, NY 10801-4915 | 2005-10-15 |
| 1932523479 | Montefiore New Rochelle Hospital | General Practice | 140 Lockwood Ave, New Rochelle, NY 10801-4915 | 2014-02-04 |
| 1154698991 | Venustas | Acupuncturist | 140 Lockwood Ave, 324, New Rochelle, NY 10801-4915 | 2011-11-22 |
| 1356635296 | Westchester Hearing Instruments | Audiologist-Hearing Aid Fitter | 140 Lockwood Ave, Suite 202, New Rochelle, NY 10801-4915 | 2011-06-08 |
| 1326342445 | Barbara Katzeff, M.d. LLC | Internal Medicine | 140 Lockwood Ave, Suite 204, New Rochelle, NY 10801-4915 | 2011-01-04 |
| 1093030116 | Ashok Dawani | Pharmacist | 140 Lockwood Ave, New Rochelle, NY 10801-4915 | 2010-03-31 |
| 1124353271 | Lockwood Endoscopy and Office Based Surgery PC | Clinic/Center | 140 Lockwood Ave, Suite 210, New Rochelle, NY 10801-4915 | 2009-10-07 |
| 1922233493 | Jennifer Pichardo Dds PC | Dentist | 140 Lockwood Ave, Suite 215, New Rochelle, NY 10801-4915 | 2009-05-27 |
| 1922240761 | Kim Josette Abrams | Pediatrics | 140 Lockwood Ave, Suite 115, New Rochelle, NY 10801-4915 | 2009-03-25 |
| 1083870273 | Caring for Kids Pediatric Dentistry, P.C. | Dentist | 140 Lockwood Ave, Suite 315, New Rochelle, NY 10801-4915 | 2008-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769654 | Jc & M Inc. | Taxi | 12 Rosedale St., New Rochelle, NY 10801 | 2020-01-24 |
| 1114565678 | Paul Defelice | Physical Therapist | 140a Suite 2 Lockwood Ave, New Rochelle, NY 10801 | 2019-12-16 |
| 1144872425 | Maria Jose Bernal Riera | Student in an Organized Health Care Education/Training Program | 16 Guion Pl New Rochelle, Ny, New Rochelle, NY 10801 | 2019-07-16 |
| 1639730757 | Raina Niles | Behavior Technician | 466 Maint Street Suite Ll20, New Rochelle, NY 10801 | 2019-06-28 |
| 1649750241 | Deborah Ann Grace | Psychologist | 54 Hilltop Avenue, New Rochelle, NY 10801 | 2018-08-14 |
| 1801386974 | Fatima Rehman | Physical Therapist | 1 Odell Place, New Rochelle, NY 10801 | 2018-05-15 |
| 1205324753 | Narayan Pharmacy 3 LLC | Pharmacy | 175 Memorial Hwy Ste 1-14, New Rochelle, NY 10801 | 2018-04-30 |
| 1750805578 | Alex Judah | Behavioral Analyst | 466 Main St Lowr Level20, New Rochelle, NY 10801 | 2017-08-02 |
| 1740703255 | Rosaria Del Monte | Specialist | 145 Huguenot Street Suite 404, All About Kids, New Rochelle, NY 10801 | 2017-07-18 |
| 1063934420 | Mustard Seed Kids Incorporated | In Home Supportive Care | 177 East Main Street, Suite 399, New Rochelle, NY 10801 | 2017-07-07 |
| Find all providers in zip 10801 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962663047 | Lisa Golda Mandelker | Pediatrics | 145 Huguenot St Ste 200, New Rochelle, NY 10801-5200 | 2008-06-20 |
| 1710024955 | Belkis A Colon | Pediatrics | 481 Main St Ste 204, New Rochelle, NY 10801-6360 | 2007-01-30 |
| 1003986217 | John M Leo | Pediatrics | Sound Shore Pediatrics, 110 Lockwood Avenue, New Rochelle, NY 10801 | 2006-11-08 |
| 1205922473 | Pediatric Associates of Southern Westchester P C | Pediatrics | 145 Huguenot Street, Suite 200, New Rochelle, NY 10801 | 2006-10-05 |
| 1265534911 | Allison Paige Stewart | Pediatrics | 90 Bon Air Ave, New Rochelle, NY 10804-3205 | 2006-09-02 |
| 1396725578 | Fara Vitale | Pediatrics | 171 Hugenot Street, Suite 101, New Rochelle, NY 10801 | 2006-01-22 |
| 1215929054 | Debra H Etelson | Pediatrics | 145 Huguenot St, Suite 200, New Rochelle, NY 10801-5200 | 2005-08-18 |
| 1689089864 | Jessica Simkins | Pediatrics | 171 Huguenot St, New Rochelle, NY 10801-7760 | 2014-06-25 |
| 1952652943 | Pediatric Group of New Rochelle PC | Pediatrics | 140 Lockwood Avenue, Suite 115, New Rochelle, NY 10801 | 2012-10-01 |
| 1639496284 | Sara Kopple | Pediatrics | 171 Huguenot St, New Rochelle, NY 10801 | 2010-04-22 |
| Find all providers in NEW ROCHELLE | ||||
| City | NEW ROCHELLE |
| Zip Code | 10801 |
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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.