Individual provider Active NPI

Judy Woo, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Glen Rock, NJ
National Provider Identifier
1093759938
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
25MA05494400 Issued in NJ
Practice address
66 Glen Ave
Glen Rock, NJ 07452-2132
Phone
(201) 796-9500
Fax
(201) 796-9509
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 25MA05494400 NJ Primary

Addresses

Primary practice location

66 Glen Ave
Glen Rock, NJ 07452-2132

Mailing address

PO Box 919
Glen Rock, NJ 07452-0919
Phone (201) 796-9500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205003332 NJ Practitioner - PsychiatryPractitioner - Nephrology 6608225420 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05494400NJMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical Group PC CurrentSince Oct 28, 2023 Accepting new patients
Bergen Passaic Pediatric Neurology Neurology With Special Qualifications in Child Neurology CurrentSince Jan 29, 2023 Accepting new patients
St Josephs University Medical Center Inc. PastSince Oct 28, 2023 Accepting new patients

Locations

17-15 Maple Ave
Ste 203
Fair Lawn, NJ 07410

66 Glen Ave
Glen Rock, NJ 07452
Phone (201) 796-9500

703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331

11 Getty Ave BLDG 275
BLDG 275
Paterson, NJ 07503
Phone (973) 247-1666

1350 State Route 23
Wayne, NJ 07470
Phone (973) 628-4671

220 Hamburg Tpke
Ste 203
Wayne, NJ 07470

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1092/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1093759938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074520919",
            "telephone_number": "201-796-9500",
            "fax_number": "201-796-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GLEN AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522132",
            "telephone_number": "201-796-9500",
            "fax_number": "201-796-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "JUDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA05494400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.