1. Home
  2. Directory
  3. New Jersey
  4. Wayne
  5. Clinic Center
  6. NPI Profile

JEFFREY B. WISE, M.D., L.L.C.
NPI 1124216718
Clinic/Center - Medical Specialty in Wayne, NJ

Active since October 09, 2007CLIA 31D2032906 · Waiver
1680 ROUTE 23, SUITE 100, WAYNE, NJ 07470(973) 305-1400(973) 694-5580 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey B. Wise, M.d., L.l.c. NPPES

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

JEFFREY B. WISE, M.D., L.L.C. (NPI 1124216718) is a healthcare organization registered as a medical specialty in Wayne, New Jersey and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Jeffrey Bruce Wise, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1124216718
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJEFFREY B. WISE, M.D., L.L.C.
Location Address1680 ROUTE 23, SUITE 100Wayne, NJ 07470-7501
Mailing Address1680 Route 23, Suite 100Wayne, NJ 07470-7501 · (973) 305-1400 · Fax (973) 694-5580
Phone(973) 305-1400
Fax(973) 694-5580
Organization SubpartNo
Authorized OfficialJeffrey Bruce WiseManaging Member · (973) 305-1400
Enumeration DateOctober 9, 2007
✔ NPI 1124216718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NJ · 25M08257300
Definition
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).
1680 ROUTE 23, Wayne, NJ 07470
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2032906

Jeffrey B Wise, MD, Facs · Wayne, NJ
Active · expires Nov 16, 2027
CLIA Number31D2032906
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorJeffrey B. Wise
Laboratory Phone(973) 305-1400
Laboratory LocationJeffrey B Wise, MD, Facs1680 Rt 23 Suite 120, Wayne, NJ 07470
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ZACHARY SUVAL SPITZER DDS
Dentist
1680 ROUTE 23, SUITE 100
WAYNE, NJ 07470
Passaic County (973) 694-3352
DR. DONALD A SPITZER DDS
Dentist (General Practice)
1680 ROUTE 23, SUITE 100
WAYNE, NJ 07470
Passaic County (973) 694-3352
DR. CHANNING YEE CHIN M.D.
Surgery
1680 ROUTE 23
WAYNE, NJ 07470
Passaic County (800) 633-8446
HEATHER RAFFER PT
Physical Therapist
1680 ROUTE 23
WAYNE, NJ 07470
Passaic County (973) 832-7655
PREMIER BARIATRIC NEW JERSEY PC
Specialist
1680 ROUTE 23
WAYNE, NJ 07470
Passaic County (516) 616-5500
LYDIA CHARLES MD
Pediatrics (Adolescent Medicine)
1680 ROUTE 23, SUITE 350
WAYNE, NJ 07470
Passaic County (973) 521-9700
DR. MONTE A HABER M.D.
Physical Medicine & Rehabilitation (Sports Medicine)
1680 ROUTE 23, SUITE 250
WAYNE, NJ 07470
Passaic County (973) 633-1122
ANGEL GABRIEL CHINEA VICENTE M.D.
Neurological Surgery
1680 ROUTE 23
WAYNE, NJ 07470
Passaic County (973) 633-1122

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 Jeffrey B. Wise, M.D., L.L.C.'s NPI number?

The NPI number for Jeffrey B. Wise, M.D., L.L.C. is 1124216718. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Jeffrey B. Wise, M.D., L.L.C. located?

Jeffrey B. Wise, M.D., L.L.C. is located at 1680 Route 23 Suite 100, Wayne, NJ 07470. The listed phone number is (973) 305-1400.

What is Jeffrey B. Wise, M.D., L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Jeffrey B. Wise, M.D., L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2032906) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeffrey B. Wise, M.D., L.L.C. was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.