Active NPI
James Wilson, MD
- Gynecology Physician
- Ocean City, NJ
National Provider Identifier
1467483750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MA040447
- Practice address
- 213 West Ave
Ocean City, NJ 08226 - Phone
- (609) 399-0700
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MA040447 | NJ | Primary |
Addresses
Primary practice location
213 West Ave
Ocean City, NJ 08226
Mailing address
PO Box 366
Ocean City, NJ 08226-0366
Phone (609) 399-0700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105776000 | Other | NJ | AMERIHEALTH HMO, POS |
| 160019035 | Other | NJ | MEDICARE RAILROAD |
| 2173000 | Medicaid | NJ | |
| 456642 | Other | NJ | AMERIHEALTH PP0 |
| 1K1289 | Other | NJ | HEALTHNET |
| 577082 | Other | NJ | OXFORD |
| PRUDENTIAL | Other | NJ | 2225512321-00 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120404000329 | NJ | Practitioner - Obstetrics/Gynecology | 0143480863 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA040447 | NJ | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Family Medicine Ass | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Somers Point, NJ
- NPI 1003851759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467483750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 366",
"city": "OCEAN CITY",
"state": "NJ",
"postal_code": "082260366",
"telephone_number": "609-399-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 WEST AVE",
"city": "OCEAN CITY",
"state": "NJ",
"postal_code": "08226",
"telephone_number": "609-399-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "MA040447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO, POS",
"identifier": "0105776000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160019035",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2173000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PP0",
"identifier": "456642",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K1289",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "577082",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "2225512321-00",
"identifier": "PRUDENTIAL",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.