Active NPIOrganization

Jack C. Wu, M.d. P.a.

Family Medicine in Westville, New Jersey

NPI Number1396843777
Practice location
219 Highland Ave, Westville, NJ 08093-1014
Fax
856-456-3959
Last updated
July 14, 2022

Jack C. Wu, M.d. P.a. is a healthcare organization based in Westville, NJ. Jack C. Wu, M.d. P.a. practices in Westville, NJ. The NPI Number for Jack C. Wu, M.d. P.a. is 1396843777 and holds a License No. 25MA298330 (NJ). The current practice location address for Jack C. Wu, M.d. P.a. is 219 Highland Ave, Westville, NJ 08093-1014 and can be reached out via phone at 856-456-1881 and via fax at 856-456-3959.

Provider Profile Details

NPI Number
1396843777
Provider Name
Jack C. Wu, M.d. P.a.
Provider Entity Type
Organization
Address
219 Highland Ave, Westville, NJ 08093-1014
Phone Number
856-456-1881
Fax Number
856-456-3959
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Kevin Wu, DO · President · 856-456-1881
Provider Enumeration Date
September 20, 2006
Last Update Date
July 14, 2022
Certification Date
July 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
219 Highland Ave
Westville, NJ 08093-1014
Zip
08093-1014
Phone Number
856-456-1881
Fax Number
856-456-3959
Westville, NJ 08093Get directions →

Provider Business Mailing Address Details

Address
219 Highland Ave
Westville, NJ 08093-1014
City
Westville
State
NJ
Zip
08093-1014
Phone Number
856-456-1881
Fax Number
856-456-3959

License Information

License Number (1)
25MA298330
License State (1)
NJ
Taxonomy (1)
Preferred Provider Organization · 305R00000X
License Number (2)
25MB07468500
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jack C. Wu, M.d. P.a.?

The NPI number of Jack C. Wu, M.d. P.a. is 1396843777. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Jack C. Wu, M.d. P.a.?

Jack C. Wu, M.d. P.a. is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA298330.

Where does Jack C. Wu, M.d. P.a. practice?

The practice location is 219 Highland Ave, Westville, NJ 08093-1014. The office can be reached at 856-456-1881 (phone) or 856-456-3959 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396843777 directly on the NPPES registry website.

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