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DR. PHILLIP ASHLEY WACKYM MD NPI 1720030315


NPI Information

NPI: 1720030315
Provider Name: DR. PHILLIP ASHLEY WACKYM, MD
Classification: Otolaryngology - 207YX0901X
Entity Type: Individual

Specialization: Otology & Neurotology

Organization: RUTGERS HEALTH-RWJ NEUROSURGERY FACULTY

PECOS Registration: Yes

Address:
10 PLUM ST FL 5
DEPARTMENT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 235-5530
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DR. Phillip Ashley Wackym, MD is an otology and neurotology otolaryngology in New Brunswick, NJ with 39 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. DR. Phillip Ashley Wackym, MD NPI is 1720030315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

10 PLUM ST FL 5
DEPARTMENT OF OTOLARYNGOLOGY - HEAD AND NECK SURGERY
NEW BRUNSWICK, NJ
ZIP 08901-066
Phone: (732) 235-5530
Fax: (732) 565-9751

The NPI 1720030315 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 4/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0901XOtolaryngologyOtology & Neurotology25MA09934900NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.