OrganizationActive
Marvin Wisch PA
NPI 1003146994 · Family Medicine Physician · Fair Lawn, NJ
Marvin Wisch PA is a Family Medicine Physician organization in Fair Lawn, NJ (NPI 1003146994).
Provider details
- NPI number
- 1003146994
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marvin Wisch, Owner(201) 796-3171
- License
- MB14606 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
28-09 Fair Lawn Ave
Fair Lawn, NJ 07410-3410
Phone: (201) 796-3171
Fax: (201) 796-8022
Street-level locationGet directions
Mailing address
28-09 Fair Lawn Ave
Fair Lawn, NJ 07410-3410
Registry dates
- Enumerated
- 2009-12-28
- Last updated
- 2009-12-28
Frequently asked questions
- What is Marvin Wisch PA's NPI number?
- Marvin Wisch PA's National Provider Identifier (NPI) is 1003146994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marvin Wisch PA?
- Marvin Wisch PA is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marvin Wisch PA located?
- Marvin Wisch PA's practice location on file with NPPES is 28-09 Fair Lawn Ave, Fair Lawn, NJ 07410-3410.
- What is Marvin Wisch PA's phone number?
- The practice phone number listed in the NPPES registry for Marvin Wisch PA is (201) 796-3171.
- Who is the authorized official for Marvin Wisch PA?
- The authorized official listed on Marvin Wisch PA's NPPES record is Marvin Wisch, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marvin Wisch PA's NPI active?
- Yes — Marvin Wisch PA's NPI (1003146994) is active in the NPPES registry as of the last update on 2009-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.