Jersey Girl Health and Wealth LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

JERSEY GIRL HEALTH AND WEALTH LLC

Practice address

479 Route 79
Morganville, NJ 07751-4061

Phone

(914) 772-3870

NPI assigned

Dec 18, 2020

Organization subpart

No

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

Authorized official

Name

Janice Woerner

Title

Occupational Therapist

Phone

(914) 772-3870

Specialties & licenses 2

Addresses

Other names 1

• JM Woerner OT Services Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1316533763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WILCOX CT",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473564",
            "telephone_number": "914-772-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 ROUTE 79",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514061",
            "telephone_number": "914-772-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY GIRL HEALTH AND WEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "WOERNER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "914-772-3870"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Morganville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "479 Route 79",
            "city": "Morganville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077514061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JM Woerner OT Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JM Woerner OT Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joseph Alton Johnson III III, OT
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• Clinic/Center in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.