Organization Active NPI

Charles E Wilkinsjr MD PA

  • Orthopaedic Surgery Physician
  • Gibbsboro, NJ
National Provider Identifier
1275589590
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
NA21045 Issued in NJ
Legal business name
CHARLES E WILKINSJR MD PA
Practice address
146 Haddonfield Berlin Rd S
Suite 301
Gibbsboro, NJ 08026-1018
Phone
(856) 784-1111
Fax
(856) 435-4070
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Charles E Wilkins Jr., M.D.
Title
Physician
Phone
(856) 784-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X NA21045 NJ Primary

Addresses

Primary practice location

146 Haddonfield Berlin Rd S
Suite 301
Gibbsboro, NJ 08026-1018

Mailing address

146 Haddonfield Berlin Rd S
Suite 301
Gibbsboro, NJ 08026-1018
Phone (856) 784-1111

National Provider Directory

National Provider Directory

Locations

146 S Lakeview Dr
Ste 301
Gibbsboro, NJ 08026
Phone (856) 435-4002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1275589590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HADDONFIELD BERLIN RD S",
            "address_2": "SUITE 301",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "856-784-1111",
            "fax_number": "856-435-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HADDONFIELD BERLIN RD S",
            "address_2": "SUITE 301",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "856-784-1111",
            "fax_number": "856-435-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E WILKINSJR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-784-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "NA21045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.