DR. JEFFREY BRUCE WISE (NPI# 1760698716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760698716 |
Entity Type | Individual |
Full Name | DR. JEFFREY BRUCE WISE |
Credential | M.D. |
Practice Address |
1680 Route 23 Ste 120 Wayne NJ 07470-7520 |
Practice Telephone | 9733051400 |
Mailing Telephone | 9733051400 |
Enumeration Date | 2007-05-15 |
Last Update Date | 2014-07-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
239180 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952422529 | Jeffrey Keith Wise | Dentist | 2350 Grass Valley Hwy, Auburn, CA 95603 | 2007-04-02 |
1164043188 | Jeffrey Wayne Wise | Audiologist | 4351 E Lohman Ave Ste 103, Las Cruces, NM 88011-8258 | 2020-04-30 |
1053871004 | Jeffrey Mark Wise II | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-4260 | 2019-03-24 |
1346613460 | Jeffrey Daniel Wise | Physical Therapy Assistant | 15 Kirkbride Dr, Danvers, MA 01923-6011 | 2015-11-11 |
1609893155 | Jeffrey J Wise | Orthopaedic Surgery | 52 W Shirley Ave, Warrenton, VA 20186 | 2006-07-17 |
Street Address |
1680 ROUTE 23 STE 120 |
City | WAYNE |
State | NJ |
Zip Code | 07470-7520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
Find all providers in zip 07470 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194764712 | John J Scheibelhoffer | Otolaryngology | 1211 Hamburg Tpke, Suite 205, Wayne, NJ 07470-5043 | 2006-06-06 |
1396784922 | Michael Angelo D'anton IIi | Otolaryngology | 1211 Hamburg Tpke, Suite 205, Wayne, NJ 07470-5043 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881027308 | Hb Group, Inc | Otolaryngology | 100 Commons Way Ste 701, Holmdel, NJ 07733-2935 | 2013-08-20 |
1073888434 | Joseph Bayer Vella | Otolaryngology | Rutgers - Robert Wood Johnson University, 10 Plum Street, New Brunswick, NJ 08901 | 2012-03-19 |
1861780173 | Ruslan Zhuravsky | Otolaryngology | 1001 Hwy 9 Ste 107, Howell, NJ 07731-3301 | 2011-07-20 |
1013209626 | Mitchell Josef Faktor | Otolaryngology | 2528 River Rd, Manasquan, NJ 08736-2130 | 2011-05-15 |
1184843971 | Kenneth S Rosen | Otolaryngology | 1811 Country Club Dr, Cherry Hill, NJ 08003-3313 | 2007-04-24 |
1487790085 | Francis Tsao | Otolaryngology | 311 Lexington Ave, Paterson, NJ 07502-1010 | 2007-01-30 |
1215032768 | Edmund S. Liu | Otolaryngology | 207 Pompton Ave, Verona, NJ 07044-3018 | 2006-09-13 |
1700808938 | David Lewis | Otolaryngology | 216 Engle St Ste 101, Englewood, NJ 07631-2428 | 2006-07-24 |
1063482651 | Mark Karolak | Otolaryngology | 208 Jack Martin Blvd, Brick, NJ 08724-7770 | 2006-01-25 |
1558347351 | Ear, Nose, Throat and Facial Plastic Surgeons, P.a. | Otolaryngology | 51 Rt 23 South, Floor 2, Riverdale, NJ 07457 | 2005-12-22 |
Find all providers with the same taxonomy |
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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.