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DR. EDWARDS AT WAYNE PC NPI 1376915553


NPI Information

NPI: 1376915553
Provider Name: DR. EDWARDS AT WAYNE PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
705 HAMBURG TPKE
WAYNE, NJ
ZIP 07470
Phone: (973) 922-1000
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DR. EDWARDS AT WAYNE PC is a clinic center in Wayne, NJ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR. EDWARDS AT WAYNE PC NPI is 1376915553. The provider is registered as an organization entity type.

The provider's business location address is:

705 HAMBURG TPKE
WAYNE, NJ
ZIP 07470-098
Phone: (973) 922-1000

The provider's authorized official is Magdy Mahmoud .
The authorized official title is Ceo and has the following contact phone number (973) 650-2009.

The enumeration date for this NPI number is 10/27/2015 and was last updated on 10/27/2015.


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
1261QU0200XClinic/CenterUrgent CareNo
2261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18234400MEDICAIDNEW JERSEY
2037602MEDICARE PINNEW JERSEY

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: 5/5/2024

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.