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

John Wacendak, MD

Individual provider Family Medicine Physician · NPI 1932196284

John Wacendak, MD is a Family Medicine Physician in Johnson City, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

40 Arch St
Johnson City, NY 13790-2102
Phone: (607) 763-6075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 194762 (NY)

Record details

NPI number1932196284
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESNovember 19, 2011
Mailing address346 Grand Ave, Johnson City, NY 13790-2558

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