What is Jack Wagner's NPI number?

Jack Wagner's National Provider Identifier (NPI) is 1578775326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Wagner's specialty?

Jack Wagner is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Jack Wagner located?

Jack Wagner's practice location on file with NPPES is 37 Wilputte Pl, New Rochelle, NY 10804-1426.

What is Jack Wagner's phone number?

The practice phone number listed in the NPPES registry for Jack Wagner is (914) 636-5678.

Is Jack Wagner's NPI active?

Yes — Jack Wagner's NPI (1578775326) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Jack Wagner, M.D.

NPI 1578775326 · Surgery Physician · New Rochelle, NY

Jack Wagner, M.D. is a Surgery Physician provider in New Rochelle, NY (NPI 1578775326).

Provider details

NPI number: 1578775326
Entity type: Individual
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 90773 (NY)

Specialties & taxonomies

Surgery PhysicianPrimary208600000XLicense 90773 (NY)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

37 Wilputte Pl

New Rochelle, NY 10804-1426

Phone: (914) 636-5678

Fax: (914) 235-0153

Street-level locationGet directions

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Mailing address