Active NPI
Craig Allen Wells, DO
- Family Medicine Physician
- Egg Harbor Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB10551600
- Practice address
- 302 Arlington CT
Egg Harbor Township, NJ 08234-6012 - Phone
- (609) 710-1980
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 25MB10551600 | NJ | |
| Family Medicine Physician | 207Q00000X | 25MB10551600 | NJ | Primary |
Addresses
Primary practice location
302 Arlington CT
Egg Harbor Township, NJ 08234-6012
Mailing address
302 Arlington CT
Egg Harbor Township, NJ 08234-6012
Phone (609) 710-1980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1310 Blackwood Clementon Rd
Clementon, NJ 08021-5610
Phone (609) 677-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB10551600 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group PA | Family Medicine | Current | Accepting new patients |
| Atlanticare Urgent Care Physicians LLC | Current | Accepting new patients | |
| Atlanticare Physician Group, PA | Current | Accepting new patients |
Locations
2500 English Creek Ave
Ste 909
Egg Harbor Twp, NJ 08234
Phone (609) 407-2380
1310 Blackwood Clementon Rd
Laurel Spgs, NJ 08021
Phone (609) 677-7200
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
255 N Route 73
West Berlin, NJ 08091
Phone (609) 569-7040
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Sicklerville, NJ
- NPI 1083991616
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1063808269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 ARLINGTON CT",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082346012",
"telephone_number": "609-710-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 ARLINGTON CT",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082346012",
"telephone_number": "609-710-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "CRAIG",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-14",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NJ",
"license": "25MB10551600",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB10551600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.