Individual provider Active NPI

Olga Wiley, MD

  • Family Medicine Physician
  • Woodbridge, NJ
National Provider Identifier
1184994253
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4529 Issued in TX
Practice address
1 Woodbridge Ctr
Suite 400
Woodbridge, NJ 07095-1150
Phone
(732) 636-6622
Fax
(732) 636-3669
NPI assigned
Jan 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P4529 TX Primary

Addresses

Primary practice location

1 Woodbridge Ctr
Suite 400
Woodbridge, NJ 07095-1150

Mailing address

1 Woodbridge Ctr
Suite 400
Woodbridge, NJ 07095-1150
Phone (732) 636-6622

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
I20150604001931 NJ Practitioner - Family Practice 9830331438 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Doctors Urgent Care of Sayreville LLC CurrentSince Oct 1, 2020 Accepting new patients
Robert Wood Johnson Physician Enterprise Family Medicine CurrentSince Apr 18, 2015 Accepting new patients
NJ Doctors Urgent Care LLC CurrentSince Oct 1, 2020 Accepting new patients
NJ Doctors Urgent Care LLC CurrentSince Oct 1, 2020 Accepting new patients
Timberland Medical Group Family Medicine Past Accepting new patients

Locations

620 State Rt 23
Pompton Plns, NJ 07444
Phone (973) 512-4252

3 Executive Dr
Ste 400
Somerset, NJ 08873
Phone (732) 369-5949

379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1184994253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOODBRIDGE CTR",
            "address_2": "SUITE 400",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951150",
            "telephone_number": "732-636-6622",
            "fax_number": "732-636-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODBRIDGE CTR",
            "address_2": "SUITE 400",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070951150",
            "telephone_number": "732-636-6622",
            "fax_number": "732-636-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.