JEFFREY B. WISE M.D. L.L.C. NPI 1124216718

NPI Information

  • NPI: 1124216718
  • Provider Name: JEFFREY B. WISE, M.D., L.L.C.
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 1680 ROUTE 23
    SUITE 100
    WAYNE, NJ
    ZIP 07470
  • Phone: (973) 305-1400

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NPI Details

JEFFREY B. WISE, M.D., L.L.C. is a medical specialty clinic center in Wayne, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). JEFFREY B. WISE, M.D., L.L.C. NPI is 1124216718. The provider is registered as an organization entity type.

The provider's business location address is:

1680 ROUTE 23
SUITE 100
WAYNE, NJ
ZIP 07470-501
Phone: (973) 305-1400
Fax: (973) 694-5580

The provider's authorized official is Jeffrey Bruce Wise .
The authorized official title is Managing Member and has the following contact phone number (973) 305-1400.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty25M08257300NEW 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: 11/21/2025

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