Wab Group Corporation

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

WAB GROUP CORPORATION

Practice address

12 Andover Rd
Old Bridge, NJ 08857-1611

Phone

(646) 206-2615

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Selom Wab-Lumor

Title

Manager

Phone

(646) 206-2615

Specialties & licenses 1

Addresses

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.

• Patience Nancy Ameho

  • Homemaker
  • Old Bridge, NJ
  • NPI 1154183903
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1427804673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ANDOVER RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571611",
            "telephone_number": "646-206-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ANDOVER RD",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571611",
            "telephone_number": "646-206-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAB GROUP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "WAB-LUMOR",
        "authorized_official_first_name": "SELOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-206-2615"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.