Woodbury TLC Transport, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

WOODBURY TLC TRANSPORT, INC

Practice address

575 Woodbury Glassboro Rd
Sewell, NJ 08080-4563

Phone

(856) 256-1390

Fax

(856) 256-0656

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joel Davids

Title

Cfo

Phone

(856) 848-1146

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063469153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 WOODBURY GLASSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804563",
            "telephone_number": "856-256-1390",
            "fax_number": "856-256-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 WOODBURY GLASSBORO RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804563",
            "telephone_number": "856-256-1390",
            "fax_number": "856-256-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY TLC TRANSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "856-848-1146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "57259",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1004473",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3295907",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC GROUP",
            "identifier": "0000129000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "35615",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "J13285",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey B Wilson, PHARM.D, RPH.
• Sharon A Winter-Scavicchio, CRNP
• Jonathan Winter, M.D.
• Natalie Wong, MD
• Michael Wood, MPT
• WRP Operating Washington NJ, LLC
• WSSH Sundance Rehab, LLC
• Lilly Yam
• Roberto E Yanez, PT
• Steven Yang, PMHNP-BC

• Ambulance in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Ambulance in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.