Individual provider Active NPI

Jennifer Wilkinson, MD

  • Psychiatry Physician
  • Lawrence Township, NJ
National Provider Identifier
1447870233
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA12246600 Issued in NJ
Practice address
21108 Cedar CT
Lawrence Township, NJ 08648-1263
Phone
(609) 831-4846
Fax
(609) 710-0964
NPI assigned
Apr 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD488352 PA
Psychiatry Physician 2084P0800X 25MA12246600 NJ Primary

Addresses

Primary practice location

21108 Cedar CT
Lawrence Township, NJ 08648-1263

Mailing address

21108 Cedar CT
Lawrence Township, NJ 08648-1263
Phone (609) 831-4846

Other practice location 1

501 Street Rd Ste 100
Southampton, PA 18966-3796
Phone (866) 535-3906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251113004182 NJ Practitioner - Psychiatry 8729579164 Reassigns benefits to 1 organization
I20260127001710 PA Practitioner - PsychiatryPractitioner - Neurology 8729579164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Virginia School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

100 Sullivan Way
Trenton, NJ 08625-0500
Phone (609) 633-1562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12246600NJMDPsychiatry Physician
MD488352PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promont Recovery LLC CurrentSince Oct 25, 2025 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Sep 1, 2025 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Sep 1, 2025 Accepting new patients

Locations

501 Street Rd
Ste 100
Southampton, PA 18966
Phone (215) 322-2213

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1447870233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21108 CEDAR CT",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086481263",
            "telephone_number": "609-831-4846",
            "fax_number": "609-710-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21108 CEDAR CT",
            "city": "LAWRENCE TOWNSHIP",
            "state": "NJ",
            "postal_code": "086481263",
            "telephone_number": "609-831-4846",
            "fax_number": "609-710-0964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Street Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189663796",
            "country_code": "US",
            "telephone_number": "866-535-3906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD488352",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA12246600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence Township, NJ

Sources for this page

Verify at the official NPI Registry.