DR. WENDY GAYLE NACH (NPI# 1831116607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831116607 |
Entity Type | Individual |
Full Name | DR. WENDY GAYLE NACH |
Credential | D.P.M |
Practice Address |
15-01 Broadway 30c Fair Lawn NJ 07410-6003 |
Practice Telephone | 2017946656 |
Practice Fax Number | 2017947642 |
Mailing Telephone | 2017946656 |
Mailing Fax Number | 2017947642 |
Enumeration Date | 2006-07-16 |
Last Update Date | 2008-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | MD001827 | NJ | Podiatric Medicine & Surgery Service Providers |
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
25MD00182700 | NJ | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | AMERIHEALTH | 0114531000 | 01 |
NJ | HORIZONNJHEALTH | 1093105 | 01 |
NJ | 4619404 | 05 | |
NJ | HEALTH NET | F13733 | 01 |
Street Address |
15-01 BROADWAY 30C |
City | FAIR LAWN |
State | NJ |
Zip Code | 07410-6003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205813391 | Ramesh C Gupta | Internal Medicine | 15-01 Broadway, Suite 28, Fair Lawn, NJ 07410-6003 | 2005-12-29 |
1649752221 | Emelita D Paragas | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410 | 2018-08-30 |
1154869733 | Beena Patel | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410 | 2017-02-03 |
1952773392 | Fairlawn Behavioral Associates | Social Worker | 15-01 Broadway, Suite 10b, Fair Lawn, NJ 07410-6003 | 2015-10-26 |
1861876419 | Fairlawn Behavioral Associates LLC | Psychologist | 15-01 Broadway, Suite# 10b, Fair Lawn, NJ 07410-6003 | 2015-07-14 |
1720400476 | Donald H Kutner Do LLC | Anesthesiology | 15-01 Broadway, Suite 34, Fair Lawn, NJ 07410-6003 | 2014-01-15 |
1023350238 | Imedical Associates, LLC | Internal Medicine | 15-01 Broadway, Suite 32, Fair Lawn, NJ 07410-6003 | 2013-03-26 |
1205125655 | Sovereign Medical Group LLC | Internal Medicine | 15-01 Broadway, Suite 1 & 3, Fair Lawn, NJ 07410 | 2011-04-06 |
1922300326 | Ma Grace Espinas | Physical Therapist | 15-01 Broadway, Suite 30a, Fair Lawn, NJ 07410-6003 | 2010-11-17 |
1750607008 | Rachel Carrie Mandel | Dentist | 15-01 Broadway, Fair Lawn, NJ 07410-6003 | 2010-04-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
Find all providers in zip 07410 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427123348 | Barry A Jansen | Podiatrist | 15-01 Broadway Ste 11, Fair Lawn, NJ 07410-6018 | 2006-11-24 |
1407184914 | Barry Jansen PC | Podiatrist | 15-01 Broadway, Suite 11, Fair Lawn, NJ 07410-6003 | 2009-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962985770 | Proactive Foot and Ankle | Podiatrist | 466 Old Hook Rd Ste 24d, Emerson, NJ 07630-1368 | 2018-09-09 |
1902356215 | Virtua Medical Group, Pa | Podiatrist | 1001 Route 73 N Uppr Level Back, Marlton, NJ 08053-4524 | 2016-10-11 |
1578013884 | Virtua Medical Group, Pa | Podiatrist | 239 Hurffville Crosskeys Rd Ste 370b, Sewell, NJ 08080-4002 | 2016-10-11 |
1346695335 | Raphael Yeung | Podiatrist | 252 Bridge St Bldg G2nd, Metuchen, NJ 08840-2294 | 2016-04-27 |
1770913493 | New Jersey Podiatric Physicians and Surgeons Group,llc | Podiatrist | 32 Jorgenson Ln, Fairfield, NJ 07004-1216 | 2013-11-15 |
1215205992 | Port Richmond Family Footcare, PC | Podiatrist | 1561 Route 38 Ste 4, Lumberton, NJ 08048-2939 | 2011-12-08 |
1033400593 | Nj Foot Docs PC | Podiatrist | 148 Route 31, 2nd Floor, Flemington, NJ 08822-4967 | 2011-05-02 |
1932413606 | Home Foot Care Services LLC | Podiatrist | 40 Stirling Rd Ste 207, Watchung, NJ 07069-5900 | 2010-08-04 |
1538480678 | Dr. David Plotkin P.a. | Podiatrist | 619 Morris Avenue, Springfield, NJ 07081-1511 | 2010-06-11 |
1114241387 | Kopylenko Dpm PC | Podiatrist | 4 Bridge Plaza Dr Ste 6, Manalapan, NJ 07726 | 2010-03-17 |
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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.