Active NPI
Olga Wiley, MD
- Family Medicine Physician
- Woodbridge, NJ
National Provider Identifier
1184994253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P4529
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Doctors Urgent Care of Sayreville LLC | Current | Accepting new patients | |
| Robert Wood Johnson Physician Enterprise | Family Medicine | Current | Accepting new patients |
| NJ Doctors Urgent Care LLC | Current | Accepting new patients | |
| NJ Doctors Urgent Care LLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Pompton Plains, NJ
- NPI 1437575891
-
- Urgent Care Clinic/Center
- South Amboy, NJ
- NPI 1750708343
-
- Family Medicine Physician
- Somerset, NJ
- NPI 1245587922
-
- Urgent Care Clinic/Center
- Nutley, NJ
- NPI 1689302689
-
- Family Medicine Physician
- Cedar Park, TX
- NPI 1528061157
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.