Active NPI
Judy Woo, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Glen Rock, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 25MA05494400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05494400 | NJ | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Medical Group PC | Current | Accepting new patients | |
| Bergen Passaic Pediatric Neurology | Neurology With Special Qualifications in Child Neurology | Current | Accepting new patients |
| St Josephs University Medical Center Inc. | Past | 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
- 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.
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Neurology with Special Qualifications in Child Neurology Physician
- Glen Rock, NJ
- NPI 1417009077
-
- Community/Retail Pharmacy
- Paterson, NJ
- NPI 1477304541
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.