Organization Active NPI

Wallington Clinic LLC

Doing business as Wallington Clinic

  • Primary Care Clinic/Center
  • Wallington, NJ
National Provider Identifier
1295804102
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WALLINGTON CLINIC LLC
Doing business as
Wallington Clinic
Practice address
46 Union Blvd
Wallington, NJ 07057-1219
Phone
(973) 471-1212
Fax
(973) 471-3311
NPI assigned
Nov 6, 2006
Last updated
Jun 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Authorized official

Name
Dr. Vincent Giardino, M.D.
Title
Physician
Phone
(973) 471-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

46 Union Blvd
Wallington, NJ 07057-1219

Mailing address

46 Union Blvd
Wallington, NJ 07057-1219
Phone (973) 471-1212

Other names 1

  • Wallington Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

46 Union Blvd
Wallington, NJ 07057
Phone (973) 471-1212

Practitioners & affiliated clinicians

Practitioners 1

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1295804102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 UNION BLVD",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571219",
            "telephone_number": "973-471-1212",
            "fax_number": "973-471-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 UNION BLVD",
            "city": "WALLINGTON",
            "state": "NJ",
            "postal_code": "070571219",
            "telephone_number": "973-471-1212",
            "fax_number": "973-471-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLINGTON CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "GIARDINO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-471-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallington Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wallington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.