JEFFREY B. WISE, M.D., L.L.C. – NPI #1124216718
Clinic/Center

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. is an AHC clinic located in WAYNE, NJ. NPPES has assigned the NPI number 1124216718 to JEFFREY B. WISE, M.D., L.L.C. on October 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY B. WISE, M.D., L.L.C. below.

NPI Profile for
JEFFREY B. WISE, M.D., L.L.C.

NPI Number
1124216718
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFREY B. WISE, M.D., L.L.C.
Primary location
1680 ROUTE 23
SUITE 100
WAYNE, NJ 07470-7501
Phone: (973) 305-1400 Fax: (973) 694-5580
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY WISE
MANAGING MEMBER
Phone: (973) 305-1400
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
NJ 25M08257300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.