Organization Active NPI

Well Health Medical Practice Inc

  • Family Medicine Physician
  • Woodbridge, NJ
National Provider Identifier
1023615168
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELL HEALTH MEDICAL PRACTICE INC
Practice address
676 Amboy Ave Ste 4
Woodbridge, NJ 07095-3144
Phone
(732) 969-2200
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maria Bernabe, MD
Title
President
Phone
(732) 824-1856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

676 Amboy Ave Ste 4
Woodbridge, NJ 07095-3144

Mailing address

121 Division St
Port Reading, NJ 07064-1003
Phone (732) 824-1856

National Provider Directory

National Provider Directory

Locations

676 Amboy Ave
Ste 4
Woodbridge, NJ 07095
Phone (732) 969-2200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606003200000",
    "number": "1023615168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DIVISION ST",
            "city": "PORT READING",
            "state": "NJ",
            "postal_code": "070641003",
            "telephone_number": "732-824-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 AMBOY AVE STE 4",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953144",
            "telephone_number": "732-969-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL HEALTH MEDICAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A",
        "authorized_official_last_name": "BERNABE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-824-1856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.