Woodbury Family Practice Associates PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA48442 Issued in NJ

Legal business name

WOODBURY FAMILY PRACTICE ASSOCIATES PA

Practice address

17 W Red Bank Ave
Suite 201
Woodbury, NJ 08096-1630

Phone

(856) 845-5220

Fax

(856) 845-7966

NPI assigned

Dec 8, 2006

Organization subpart

No

Name

Joseph B Szgalsky, MD

Title

President

Phone

(856) 845-5220

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194884551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W RED BANK AVE",
            "address_2": "SUITE 201",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961630",
            "telephone_number": "856-845-5220",
            "fax_number": "856-845-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W RED BANK AVE",
            "address_2": "SUITE 201",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961630",
            "telephone_number": "856-845-5220",
            "fax_number": "856-845-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY FAMILY PRACTICE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SZGALSKY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-845-5220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA48442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2667703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Woeller, LPC
• Danielle Wood, MS
• Joseph Michael Wood, PHARMD
• Woodbury Amop, LLC
• Woodbury Diagnostics Lab
• Woodbury Medical Office PA
• Woodbury Physical Medicine, LLC
• Woodbury Public Schools
• Woodbury Senior Housing LLC
• Woodbury SNF Operations LLC

• All providers in Woodbury, NJ
• Family Medicine Physician 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.