Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mitchell Wangsgard, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770978819

Dr. Mitchell Wangsgard, MD is a Diagnostic Radiology in Livingston, New Jersey. Qualified in 2014, 12 years ago. Practices with Medical Center Radiologists Inc, a 123-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone: (973) 322-8945
Fax: (973) 322-2471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101271478 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770978819
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2015
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address94 Old Short Hills Rd, Dept Of Radiology, Livingston, NJ 07039-5672

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Medical Center Radiologists Inc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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