MARVIN WISCH PA
NPI 1003146994
Family Medicine in Fair Lawn, NJ

Q: What is Marvin Wisch PA's NPI number?

The NPI number for Marvin Wisch PA is 1003146994. It was assigned to this organization in the NPPES registry on December 28, 2009.

Q: What is Marvin Wisch PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marvin Wisch PA was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2009

28-09 FAIR LAWN AVE, FAIR LAWN, NJ 07410(201) 796-3171(201) 796-8022 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marvin Wisch Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARVIN WISCH PA (NPI 1003146994) is a healthcare organization registered as a family medicine in Fair Lawn, New Jersey and active in the NPI registry since December 2009. The organization lists Marvin Wisch, Owner, as its authorized official.

NPPES Registry Identity

NPI1003146994

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMARVIN WISCH PA

Location Address28-09 FAIR LAWN AVEFair Lawn, NJ 07410-3410

Mailing Address28-09 Fair Lawn AveFair Lawn, NJ 07410-3410 · (201) 796-3171 · Fax (201) 796-8022

Phone(201) 796-3171

Fax(201) 796-8022

Organization SubpartNo

Authorized OfficialMarvin WischOwner · (201) 796-3171

Enumeration DateDecember 28, 2009

✔ NPI 1003146994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · MB14606

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

28-09 FAIR LAWN AVE, Fair Lawn, NJ 07410

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Other Identifiers 2

Medicaid4697707NJ

Medicare PIN444378NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Wisch PA's NPI number?

The NPI number for Marvin Wisch PA is 1003146994. It was assigned to this organization in the NPPES registry on December 28, 2009.

Where is Marvin Wisch PA located?

Marvin Wisch PA is located at 28-09 Fair Lawn Ave, Fair Lawn, NJ 07410. The listed phone number is (201) 796-3171.

What is Marvin Wisch PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Marvin Wisch PA was last updated on December 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.