Organization Active NPI

Wellbox NJ PC

  • Internal Medicine Physician
  • Westfield, NJ
National Provider Identifier
1184162133
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WELLBOX NJ PC
Practice address
324 South Ave E
Westfield, NJ 07090-1579
Phone
(833) 935-5269
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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

Authorized official

Name
Peter Weigel, MD
Title
Director
Phone
(859) 905-3901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

324 South Ave E
Westfield, NJ 07090-1579

Mailing address

12574 Flagler Center Blvd Ste 101
Jacksonville, FL 32258-2615
Phone (949) 510-2832

National Provider Directory

National Provider Directory

Locations

4401 Salisbury Rd
Jacksonville, FL 32216

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673654400000",
    "number": "1184162133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12574 FLAGLER CENTER BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582615",
            "telephone_number": "949-510-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SOUTH AVE E",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901579",
            "telephone_number": "833-935-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBOX NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2023-01-14",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "WEIGEL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-905-3901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.