Organization Active NPI

Wees Physical Therapy and Wellness Clinic

  • Physical Therapist
  • Fort Lee, NJ
National Provider Identifier
1043385941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01192500 Issued in NJ
Legal business name
WEES PHYSICAL THERAPY AND WELLNESS CLINIC
Practice address
1055 Palisade Ave
1St Floor
Fort Lee, NJ 07024-6329
Phone
(201) 886-1200
Fax
(201) 886-0119
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sung Bam Wee, P.TNPI 1467552182
Title
President
Phone
(201) 886-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 40QA01192500 NJ Primary

Addresses

Primary practice location

1055 Palisade Ave
1St Floor
Fort Lee, NJ 07024-6329

Mailing address

1055 Palisade Ave
1St Floor
Fort Lee, NJ 07024-6329
Phone (201) 886-1200

Other names 1

  • wees health care clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000715 NJ Part B Supplier - Clinic/Group Practice 5698877322 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood Cliffs, NJ; Norwood, NJ

National Provider Directory

National Provider Directory

Locations

1055 Palisade Ave
#1
Fort Lee, NJ 07024
Phone (201) 886-1200

474 Livingston St
Ste 1
Norwood, NJ 07648
Phone (201) 784-8100

474 Livingston St
#1
Norwood, NJ 07648
Phone (201) 784-8100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043385941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 PALISADE AVE",
            "address_2": "1ST FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246329",
            "telephone_number": "201-886-1200",
            "fax_number": "201-886-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 PALISADE AVE",
            "address_2": "1ST FLOOR",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246329",
            "telephone_number": "201-886-1200",
            "fax_number": "201-886-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEES PHYSICAL THERAPY AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEE",
        "authorized_official_first_name": "SUNG BAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-886-1200",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01192500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wees health care clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lee, NJ

Sources for this page

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

Verify at the official NPI Registry.