Active NPI
Woodlynne Medical Associates,PC
- Internal Medicine Physician
- Oaklyn, NJ
National Provider Identifier
1245351287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MA065103
- Legal business name
- WOODLYNNE MEDICAL ASSOCIATES,PC
- Practice address
- 2301 Woodlynne Ave
Oaklyn, NJ 08107-2242 - Phone
- (856) 962-8840
- NPI assigned
- Apr 3, 2007
- Last updated
- Mar 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tram N Le
- Title
- Doctor
- Phone
- (856) 962-8840
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA065103 | NJ | Primary |
Addresses
Primary practice location
2301 Woodlynne Ave
Oaklyn, NJ 08107-2242
Mailing address
2301 Woodlynne Ave
Oaklyn, NJ 08107-2242
Phone (856) 962-8840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9070907 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Family Medicine Physician
- Boca Raton, FL
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-
- Family Medicine Physician
- San Diego, CA
- NPI 1346442985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300147200000",
"number": "1245351287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 WOODLYNNE AVE",
"city": "OAKLYN",
"state": "NJ",
"postal_code": "081072242",
"telephone_number": "856-962-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 WOODLYNNE AVE",
"city": "OAKLYN",
"state": "NJ",
"postal_code": "081072242",
"telephone_number": "856-962-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLYNNE MEDICAL ASSOCIATES,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2011-03-15",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "TRAM",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "856-962-8840",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA065103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9070907",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oaklyn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.