Rudolph Wagner (NPI# 1366484222, PAC ID# 7618031741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1366484222 |
| PAC ID by PECOS | 7618031741 |
| Professional Enrollment ID | I20090204000063 |
| Full Name | Rudolph Wagner |
| Organization Legal Name | HUDSON EYE PHYSICIANS AND SURGEONS, LLC |
| Address |
288 Millburn Ave Millburn NJ 07041-1622 |
| Phone Number | 9736912910 |
| Gender | M |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1978 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0648269472 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310119 | THE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 288 Millburn Ave, Millburn, NJ 07041-1622 | 9736912910 | HUDSON EYE PHYSICIANS AND SURGEONS, LLC |
| 288 Millburn Ave, Millburn, NJ 07041-1622 | 9739129100 | ASSOCIATED RETINAL CONSULTANTS LLC |
| 30 Bergen St, Bldg 12 Rm 1205, Newark, NJ 07107-3000 | 9739822019 | UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC |
| 628 Cedar Ln, Teaneck, NJ 07666-1704 | 2018377300 | ASSOCIATED RETINAL CONSULTANTS LLC |
| Organization Legal Name | HUDSON EYE PHYSICIANS AND SURGEONS, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Walsman | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 288 Millburn Ave, Millburn, NJ 07041-1622 |
| Donald Cinotti | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 288 Millburn Ave, Millburn, NJ 07041-1622 |
| William H Constad | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 124 Ave B, Bayonne, NJ 07002-2071 |
| Catherine Ann Origlieri | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 124 Ave B, Bayonne, NJ 07002-2071 |
| Donald A Greenfield | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 600 Pavonia Ave, 6th Floor, Jersey City, NJ 07306-2984 |
| Joanna D Pruzon | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 288 Millburn Ave, Millburn, NJ 07041-1622 |
| Barry A Maltzman | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 600 Pavonia Ave, 6th Floor, Jersey City, NJ 07306-2984 |
| Street Address |
288 MILLBURN AVE |
| City | MILLBURN |
| State | NJ |
| Zip | 07041-1622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Walsman | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 288 Millburn Ave, Millburn, NJ 07041-1622 |
| Donald Cinotti | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 288 Millburn Ave, Millburn, NJ 07041-1622 |
| Joanna D Pruzon | Ophthalmology | Hudson Eye Physicians and Surgeons, LLC | 288 Millburn Ave, Millburn, NJ 07041-1622 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent John Mcglone | Optometry | 249 Main St, Millburn, NJ 07041-1122 | |
| Dave Mistry | Physical Therapy | Recovery Physical Therapy, P.C. | 194 Main St, Millburn, NJ 07041-1144 |
| Joel Hirschhorn | Physical Therapy | Recovery Physical Therapy, P.C. | 194 Main St, Millburn, NJ 07041-1144 |
| Robert C Kornhaber | Psychologist, Clinical | 206 Main St, Apt 22, Millburn, NJ 07041-1161 | |
| Boleslav Kotlyar | Ophthalmology | Vitreous Retina Macula Specialists of Nj | 306 Main St, Suite 2, Millburn, NJ 07041-1178 |
| Mona Doshi | Internal Medicine | 306 Main St, Millburn, NJ 07041-1178 | |
| Vatsal S Doshi | Ophthalmology | Vitreous Retina Macula Specialists of Nj | 306 Main St, Suite 2, Millburn, NJ 07041-1178 |
| Victoria V Blom | Clinical Social Worker | 318 Main St, Suite 205, Millburn, NJ 07041-1181 | |
| Michael C Fox | Chiropractic | 318 Main St, Suite 101, Millburn, NJ 07041-1181 | |
| Maria A Santiago | Clinical Social Worker | 318 Main St, Suite 205, Millburn, NJ 07041-1181 | |
| Find all physicians in zip 07041 | |||
| City | MILLBURN |
| Zip Code | 07041 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MILLBURN + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Rudolph Wagner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.