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Deactivated NPI 1780882464 Deactivated / Inactive NPI Male Practitioner

Dr. Wakim Victor Wakim , MD

Internal Medicine • Hackensack, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wakim Wakim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2007
NPI Deactivation Date July 26, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Wakim Wakim, MD was a registered Internal Medicine practicing in Hackensack, NJ. Throughout an active medical career spanning 19 years, Dr. Wakim provided care at the practice location at 30 PROSPECT AVE until profile deactivation on 2026-07-26.

Practice Location & Contact Primary Location

Practice Address

30 Prospect Ave

Hackensack, NJ 076011914

Telephone 2019963664
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
104 Specialists

Practicing in Hackensack, NJ (4957 Statewide)

Telehealth Adoption Rate
22.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA08715900

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1417975194

Doctor of Medicine (M.D.)

Dr. Martin Chatelain , MD

Internal Medicine

NPI 1538116611

Doctor of Medicine (M.D.)

NPI 1598926586

Doctor of Medicine (M.D.)

Dr. Mehek Rahim , MD

Student in an Organized Health Care Education/Training Program

NPI 1609403666

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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NPI Profile Deactivated July 26, 2026

Record deactivated on July 26, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #MD431956 in PA)

NPI Profile Active June 26, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 26, 2017

Registered at 100 E 77TH ST, NEW YORK, NY 100751850 (Tel: (212) 434-2143)

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Updated Business Mailing Address June 26, 2017

Registered at 100 E 77TH ST, NEW YORK, NY 100751850 (Tel: (212) 434-2143)

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Provider Name / Credentials Updated June 26, 2017

Recorded as WAKIM WAKIM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2017

Internal Medicine (License #MD431956 in PA)

NPI Profile Active May 27, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 27, 2011

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011914 (Tel: 2019963664)

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Updated Business Mailing Address May 27, 2011

Registered at 30 PROSPECT AVE, HACKENSACK, NJ 076011914 (Tel: 2019963664)

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Provider Name / Credentials Updated May 27, 2011

Recorded as WAKIM WAKIM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2011

Internal Medicine (License #25MA08715900 in NJ)

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Initial NPI Registration & Enumeration July 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780882464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2007
Last Update: May 27, 2011
Deactivation Date: July 26, 2026

Mailing Address

30 Prospect Ave

Hackensack, NJ 076011914

Phone: 2019963664

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.