NPIMap

Individual provider Active NPI

Kevin Wu, D.O.

  • Family Medicine Physician
  • Westville, NJ
National Provider Identifier
1043274228
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07468500 Issued in NJ
Practice address
219 Highland Ave
Westville, NJ 08093-1014
Phone
(856) 456-1881
Fax
(856) 456-3959
NPI assigned
Apr 14, 2006
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07468500 NJ Primary

Addresses

Primary practice location

219 Highland Ave
Westville, NJ 08093-1014

Mailing address

219 Highland Ave
Westville, NJ 08093-1014
Phone (856) 456-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000821 NJ Practitioner - Family Practice 4284663790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

219 Highland Ave
Westville, NJ 08093-1014
Phone (856) 456-1881

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07468500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dorfner Family Medicine LLC CurrentSince Apr 14, 2009 Accepting new patients
Jack C. Wu, M.D. P.a. Family Medicine CurrentSince Oct 1, 2012 Accepting new patients

Locations

811 Sunset Rd
#101
Burlington, NJ 08016
Phone (609) 387-9242

1105 Sunset Rd
Burlngtn Twp, NJ 08016
Phone (609) 387-9242

219 Highland Ave
Westville, NJ 08093
Phone (856) 456-1881

Interoperability endpoints

  • Direct secure messaging: kevin.wu.1@24847.direct.athenahealth.com
  • Direct secure messaging: kwu@drwuoffice219.kareodirect.com
  • Direct secure messaging: ryi1@drwuoffice219.kareodirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1043274228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 HIGHLAND AVE",
            "city": "WESTVILLE",
            "state": "NJ",
            "postal_code": "080931014",
            "telephone_number": "856-456-1881",
            "fax_number": "856-456-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 HIGHLAND AVE",
            "city": "WESTVILLE",
            "state": "NJ",
            "postal_code": "080931014",
            "telephone_number": "856-456-1881",
            "fax_number": "856-456-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07468500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westville, NJ

Sources for this page

Verify at the official NPI Registry.