Healthcare Provider Details

I. General information

NPI: 1962475665
Provider Name (Legal Business Name): DR. WADE A RITTER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2006
Last Update Date: 03/16/2025
Certification Date: 03/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2089 ROUTE 9 N
CAPE MAY COURT HOUSE NJ
08210-1163
US

IV. Provider business mailing address

365 W PASSAIC ST STE 530
ROCHELLE PARK NJ
07662-3012
US

V. Phone/Fax

Practice location:
  • Phone: 609-624-0123
  • Fax:
Mailing address:
  • Phone: 201-571-0214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00385100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number01312
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: