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

Dr. Phillip Ashley Wackym, MD

Individual provider Facial Plastic Surgery Physician · NPI 1720030315

Dr. Phillip Ashley Wackym, MD is an Otolaryngology in New Brunswick, New Jersey. Graduated from Vanderbilt University School of Medicine in 1985, 41 years ago. Practices with Rutgers Health-Rwj Neurosurgery Faculty, a 192-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
41
Trained at
Vanderbilt University School of Medicine
Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

210 Somerset St Fl 11 Dept OF Head And Neck Surgery
New Brunswick, NJ 08901-2066
Phone: (732) 235-5530
Fax: (609) 991-6148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otology & Neurotology Physician (primary) Taxonomy 207YX0901X · Licence 25MA09934900 (NJ)
Facial Plastic Surgery Physician Taxonomy 207YS0123X · Licence 25MA09934900 (NJ)

Record details

NPI number1720030315
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJanuary 25, 2026
Certification dateJanuary 25, 2026

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Rutgers Health-Rwj Neurosurgery Faculty — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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