Dr. Anju Wagh

MD | Pediatric Emergency Medicine | Male

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Complete Profile:

Dr. Anju Wagh basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Emergency Medicine
Provider Name :	Dr. Anju Wagh
Credential :	MD
Gender :	Male

Business Address:

Dr. Anju Wagh address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3959 Broadway New York, NY, 10032-1559 United States
Phone Number :	221-304-7250
Fax Number :	212-544-1974

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1033171178
NPI Entity Type :	Individual
First Enrolment Date :	04 Apr, 2006
Last Updated On :	09 Mar, 2023

Medicare Participation:

Dr. Anju Wagh participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3779508023
Medicare Enrollment ID :	I20051006000197
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1991
Accepts Medicare?	Yes. Dr. Anju Wagh accepts medicare insurance.

Group Practice Association:

Dr. Anju Wagh is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Anju Wagh is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Trustees Of Columbia University In The City Of New York	8527972546	1832	622 W 168th St New York, NY - 100323720 Ph: 2123059876	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anju Wagh are as mentioned. Primary taxonomy code for Dr. Anju Wagh, MD is 2080P0204X (Pediatrics, Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics, Pediatric Emergency Medicine	Yes	210585	NY

Legacy Identifiers:

Other legacy medical identifiers of Dr. Anju Wagh such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
01860186	MEDICAID	NY
549891	MEDICARE ID-Type Unspecified	NY
G75039	MEDICARE UPIN	NY

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	285 Midvale St Ridgewood, NJ, 07450-4936 United States
Phone Number :	201-251-2363
Fax Number :	201-251-2363

Business Location:

Patients can refer following map for directions to Dr. Anju Wagh practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.