Individual Healthcare Provider
Phillip Ashley Wackym, MD
Provider's NPPES record last updated: January 25, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1720030315
- Primary Specialty
- Otolaryngology — Otology & Neurotology
- Practice Location
- New Brunswick, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:42 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Otolaryngology
Otology & Neurotology
Allopathic & Osteopathic Physicians
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Taxonomy code 207YX0901X Otolaryngology
Facial Plastic Surgery
Allopathic & Osteopathic Physicians
An otolaryngologist who specializes in facial plastic surgery.
Taxonomy code 207YS0123X
Provider-Reported License Information
- Otolaryngology (New Jersey)
- 25MA09934900
- Otolaryngology (New Jersey)
- 25MA09934900
Practice Locations
Practice Location
210 Somerset St Fl 11
Department of Head and Neck Surgery
New Brunswick, New Jersey 08901-2066
Phone: (732) 235-5530
Record Information
- Enumeration Date
- May 16, 2006
- Provider's NPPES Record Last Updated
- January 25, 2026
- Certification Date
- January 25, 2026
- NPISignal NPPES Dataset
- August 2026
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