Woodhull Medical and Mental Health Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

172347 Issued in NY

Legal business name

WOODHULL MEDICAL AND MENTAL HEALTH CENTER

Practice address

13 Luccarelli Dr
Holmdel, NJ 07733-1223

Phone

(732) 739-3592

Fax

(732) 739-3430

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Yaw-Ling Chen, M.D.

Title

Attending Physician

Phone

(718) 963-8000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124104666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 LUCCARELLI DR",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331223",
            "telephone_number": "732-739-3592",
            "fax_number": "732-739-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 LUCCARELLI DR",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331223",
            "telephone_number": "732-739-3592",
            "fax_number": "732-739-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHULL MEDICAL AND MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YAW-LING",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "718-963-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "172347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CO6800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Witkowski, M.D.,F.A.C.O.G.
• Sanford Wohlstadter, M.D.,F.A.C.O.G.
• Wolf Podiatry LLC
• Veronica R Wolf, DPM
• Women'S Medical Connection, LLC
• Rose Woods, RN
• Jing Ye
• Ya-Tang Yen, MD
• Grace Mercado Yia, M.D.
• Priscilla Jongman Yick, PHARM.D.

• General Acute Care Hospital in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• General Acute Care Hospital 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.