Organization Active NPI

John J Wilkins,D.O.,P.a.

  • Psychiatry Physician
  • Medford, NJ
National Provider Identifier
1447513106
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MB05076500 Issued in NJ
Legal business name
JOHN J WILKINS,D.O.,P.A.
Practice address
239 Taunton Blvd
A-2
Medford, NJ 08055-3471
Phone
(856) 983-5551
Fax
(856) 983-1511
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. John Wilkins, D.O.
Title
President
Phone
(856) 983-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MB05076500 NJ Primary

Addresses

Primary practice location

239 Taunton Blvd
A-2
Medford, NJ 08055-3471

Mailing address

239 Taunton Blvd
A-2
Medford, NJ 08055-3471
Phone (856) 983-5551

National Provider Directory

National Provider Directory

Locations

135 Jackson Rd
Ste C
Medford, NJ 08055
Phone (856) 983-5551

239 Taunton Blvd
Ste A2
Medford, NJ 08055
Phone (856) 608-1130

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": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1447513106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 TAUNTON BLVD",
            "address_2": "A-2",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553471",
            "telephone_number": "856-983-5551",
            "fax_number": "856-983-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 TAUNTON BLVD",
            "address_2": "A-2",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553471",
            "telephone_number": "856-983-5551",
            "fax_number": "856-983-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J WILKINS,D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-983-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB05076500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.