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

Wayne Raymond Detorres, MD

Individual provider Urology Physician · NPI 1811039357

Wayne Raymond Detorres, MD is an Urology in Midland Park, New Jersey. Graduated from Tufts University School of Medicine in 1988, 38 years ago. Practices with Urology Group PA, an 8-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
38
Trained at
Tufts University School of Medicine
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4 Godwin Ave
Midland Park, NJ 07432
Phone: (201) 444-7070
Fax: (201) 444-7228
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MA70238 (NJ)

Record details

NPI number1811039357
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4 Godwin Avenue, Midland Park, NJ 07432

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Urology Group Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midland Park