Active NPIOrganization

Woodbine Family Medical

Family Medicine in Woodbine, New Jersey

NPI Number1962794420
Practice location
713 Dehirsch Ave, Woodbine, NJ 08270-2339
Fax
609-861-1071
Last updated
May 3, 2011

Woodbine Family Medical is a healthcare organization based in Woodbine, NJ. Woodbine Family Medical practices in Woodbine, NJ. The NPI Number for Woodbine Family Medical is 1962794420 and holds a License No. 26NN1202500 (NJ). The current practice location address for Woodbine Family Medical is 713 Dehirsch Ave, Woodbine, NJ 08270-2339 and can be reached out via phone at 609-861-4241 and via fax at 609-861-1071.

Provider Profile Details

NPI Number
1962794420
Provider Name
Woodbine Family Medical
Provider Entity Type
Organization
Address
713 Dehirsch Ave, Woodbine, NJ 08270-2339
Phone Number
609-861-4241
Fax Number
609-861-1071
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Doris Jacob · Owner · 609-861-4241
Provider Enumeration Date
May 3, 2011
Last Update Date
May 3, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
713 Dehirsch Ave
Woodbine, NJ 08270-2339
Zip
08270-2339
Phone Number
609-861-4241
Fax Number
609-861-1071
Woodbine, NJ 08270Get directions →

Provider Business Mailing Address Details

Address
713 Dehirsch Ave
Woodbine, NJ 08270-2339
City
Woodbine
State
NJ
Zip
08270-2339
Phone Number
609-861-4241
Fax Number
609-861-1071

License Information

License Number (1)
26NN1202500
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
mb61909
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 Woodbine Family Medical?

The NPI number of Woodbine Family Medical is 1962794420. It was assigned on May 3, 2011 and is currently active in the NPPES registry.

What is the specialty of Woodbine Family Medical?

Woodbine Family Medical is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 26NN1202500.

Where does Woodbine Family Medical practice?

The practice location is 713 Dehirsch Ave, Woodbine, NJ 08270-2339. The office can be reached at 609-861-4241 (phone) or 609-861-1071 (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 1962794420 directly on the NPPES registry website.

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