Woodbury Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WOODBURY SURGICAL ASSOCIATES

Practice address

127 N Broad St
Woodbury, NJ 08096-1718

Phone

(856) 845-0500

Fax

(856) 384-8757

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Joseph Millili, M.D.NPI 1609897198

Title

President

Phone

(856) 845-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Joseph Millili, M.D.

  • Surgery Physician
  • Woodbury, NJ
  • NPI 1609897198
  Authorized official Same address or phone

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083631733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961718",
            "telephone_number": "856-845-0500",
            "fax_number": "856-384-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961718",
            "telephone_number": "856-845-0500",
            "fax_number": "856-384-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLILI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-845-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3350002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Woodbury Medical Office PA
• Woodbury Physical Medicine, LLC
• Woodbury Public Schools
• Woodbury Senior Housing LLC (Woodbury Mews Senior Living)
• Woodbury SNF Operations LLC (Atlas Post Acute at Woodbury Country Club)
• Woods Manor
• Lauresa Woolfolk, LAC
• Benjamin Wright, CRNA
• Matthew John Young, D.O.
• Youth Advocate Programs, Inc.

• Surgery Physician in Woodbury, NJ
• Providers in Woodbury, NJ by specialty
• Surgery Physician 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.