Active NPI
Paula J Wilson, DC
- Chiropractor
- Millville, NJ
National Provider Identifier
1336100304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC04626
- Practice address
- 1201 East Broad Street
Millville, NJ 08332 - Phone
- (856) 327-2225
- Fax
- (856) 327-2228
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC04626 | NJ | Primary |
Addresses
Primary practice location
1201 East Broad Street
Millville, NJ 08332
Mailing address
1201 East Broad Street
Millville, NJ 08332
Phone (856) 327-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1201 E Broad St
Millville, NJ 08332-1615
Phone (856) 327-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC04626 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Advanced Spine and Rehabilitation Center LLC | Chiropractor | Past | Accepting new patients |
Locations
1201 E Broad St
Millville, NJ 08332
Phone (856) 327-2100
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Millville, NJ
- NPI 1265595409
-
- Chiropractor
- Millville, NJ
- NPI 1407929904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1336100304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 EAST BROAD STREET",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "08332",
"telephone_number": "856-327-2225",
"fax_number": "856-327-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 EAST BROAD STREET",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "08332",
"telephone_number": "856-327-2225",
"fax_number": "856-327-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "PAULA",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC04626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.