Active NPI
Physician Health and Wellness
- Primary Care Clinic/Center
- Linwood, NJ
National Provider Identifier
1518435007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.