Organization Active NPI

Physician Health and Wellness

  • Primary Care Clinic/Center
  • Linwood, NJ
National Provider Identifier
1518435007
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PHYSICIAN HEALTH AND WELLNESS
Practice address
2106 New Rd Ste E2
Linwood, NJ 08221-1052
Phone
(201) 230-6637
NPI assigned
Nov 2, 2018
Last updated
Nov 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Authorized official

Name
Dr. Jo-Ann Shakarjian, MD
Title
Physician/Owner
Phone
(201) 471-2109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2106 New Rd Ste E2
Linwood, NJ 08221-1052

Mailing address

700 Avenue C Ste 1
Bayonne, NJ 07002-5837
Phone (201) 230-6637

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1518435007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AVENUE C STE 1",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070025837",
            "telephone_number": "201-230-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 NEW RD STE E2",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211052",
            "telephone_number": "201-230-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "SHAKARJIAN",
        "authorized_official_first_name": "JO-ANN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "201-471-2109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.