Organization Active NPI

Woodlynne Medical Associates,PC

  • Internal Medicine Physician
  • Oaklyn, NJ
National Provider Identifier
1245351287
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA065103 Issued in NJ
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Tram N LeNPI 1912931791
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9070907MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.