Janette M Wahba

MD | Pediatric Adolescent Medicine | Female

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Complete Profile:

Janette M Wahba basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	Janette M Wahba
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Janette M Wahba 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 :	525 Ridge Rd Lyndhurst, NJ, 07071-2739 United States
Phone Number :	201-935-5512
Fax Number :	201-935-1914

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 :	1659331114
NPI Entity Type :	Individual
First Enrolment Date :	27 Mar, 2006
Last Updated On :	17 Feb, 2012

Medicare Participation:

Janette M Wahba participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1456695824
Medicare Enrollment ID :	I20181212001288
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1970
Accepts Medicare?	Yes. Janette M Wahba accepts medicare insurance.

Group Practice Association:

Janette M Wahba 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 Janette M Wahba is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Paterson Division Of Health	0446280663	2	176 Broadway Paterson, NJ - 075051115 Ph: 97332112772739	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 Janette M Wahba are as mentioned. Primary taxonomy code for Janette M Wahba, MD is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080A0000X	Pediatrics Adolescent Medicine	Yes	25MA03093400	NJ

Legacy Identifiers:

Other legacy medical identifiers of Janette M Wahba such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1879308	MEDICAID	NJ

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 :	525 Ridge Rd Lyndhurst, NJ, 07071-2739 United States
Phone Number :	201-935-5512
Fax Number :	201-935-1914

Business Location:

Patients can refer following map for directions to Janette M Wahba 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.