SHARAD WAGLE (NPI# 1801011283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801011283 |
| Entity Type | Individual |
| Full Name | SHARAD WAGLE |
| Credential | MD |
| Practice Address |
718 Teaneck Rd Holyname Name Hospital Teaneck NJ 07666-4245 |
| Mailing Address |
811 Golf Pl Oradell NJ 07649-1215 |
| Practice Telephone | 2018333291 |
| Practice Fax Number | 2015415962 |
| Mailing Telephone | 2012626522 |
| Mailing Fax Number | 2015415962 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
MA031494 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
718 TEANECK RD HOLYNAME NAME HOSPITAL |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900549 | John Jude Klein | Specialist | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2005-05-27 |
| 1962013086 | Andrew Murgittroyd | Pharmacist | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2020-08-12 |
| 1386266179 | Kimberly A Miletti | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2020-05-14 |
| 1043857469 | Tara Lynn Hill | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4281 | 2019-12-04 |
| 1487291282 | Tamara Szwecki | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-30 |
| 1053958819 | Mikyong Cho | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-28 |
| 1447896287 | Jaclyn Susan Giordano | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-26 |
| 1619513454 | Rose Apkarian | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-26 |
| 1609335769 | Mallory Nop | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-03-18 |
| 1639649593 | Robert J Walsh | Physical Medicine & Rehabilitation | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669908356 | Rima E Laibow | Psychiatry & Neurology | 58 Plotts Rd, Newton, NJ 07860-6224 | 2017-05-02 |
| 1558578153 | Karl J.f. Gossner,m.d. | Psychiatry & Neurology | 716 Executive Dr, Princeton, NJ 08540-1529 | 2007-05-16 |
| 1346456423 | Mona Patel M D LLC | Psychiatry & Neurology | 70 Kinderkamack Rd, Suite 201, Emerson, NJ 07630-1883 | 2007-05-15 |
| 1487869574 | Ashwini Kumar Neelgund | Psychiatry & Neurology | 4122 Route 516, Suite C, Matawan, NJ 07747-7031 | 2007-05-11 |
| 1336353051 | Ruben Singh | Psychiatry & Neurology | 83a White St, Eatontown, NJ 07724-1537 | 2007-05-10 |
| 1033321443 | Robert Vidor | Psychiatry & Neurology | 837 Kearny Ave, Kearny, NJ 07032-3241 | 2007-05-06 |
| 1902028863 | Carey Ellen Gross | Psychiatry & Neurology | 260 Engle Street, Tenafly, NJ 07670 | 2007-05-02 |
| 1972723872 | Lawrence Melvyn Eisenstein | Psychiatry & Neurology | 21 Mechanic St, Red Bank, NJ 07701-1801 | 2007-04-26 |
| 1518185198 | Annamaria Nucci | Psychiatry & Neurology | 5 Westview Ct, Cedar Grove, NJ 07009-1937 | 2007-04-21 |
| 1831312065 | Pamela Yvette Williams | Psychiatry & Neurology | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2007-04-10 |
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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.