Active NPI
James Robert Wujciak, MA
- Counselor
- Brick, NJ
National Provider Identifier
1023615598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- AC-GTL-20-01740
- Practice address
- 1500 Route 88
Brick, NJ 08724-2320 - Phone
- (732) 785-1900
- NPI assigned
- Oct 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | AC-GTL-20-01740 | NJ | Primary |
Addresses
Primary practice location
1500 Route 88
Brick, NJ 08724-2320
Mailing address
201 1St Ave
Spring Lake, NJ 07762-1004
Phone (973) 820-8635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC-GTL-20-01740 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1023615598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 1ST AVE",
"city": "SPRING LAKE",
"state": "NJ",
"postal_code": "077621004",
"telephone_number": "973-820-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ROUTE 88",
"city": "BRICK",
"state": "NJ",
"postal_code": "087242320",
"telephone_number": "732-785-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUJCIAK",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-07",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "AC-GTL-20-01740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.