Willow Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILLOW MEDICAL

Practice address

505 New Rd
Somers Point, NJ 08244-2049

Phone

(609) 653-6161

Fax

(609) 653-9604

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Thomas Price Jr., N/A

Title

President/Owner

Phone

(609) 653-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHORE MEDICAL Doing business as

Tax ID family

Shore Medical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Willow Medical

  • Durable Medical Equipment & Medical Supplies
  • Trenton, NJ
  • NPI 1720043409
  NPD tax ID
• Willow Medical of Maryland, Inc.

  • Oxygen Equipment & Supplies (DME)
  • La Plata, MD
  • NPI 1134184195
  NPD tax ID

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1598720286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 NEW RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442049",
            "telephone_number": "609-653-6161",
            "fax_number": "609-653-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 NEW RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442049",
            "telephone_number": "609-653-6161",
            "fax_number": "609-653-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "609-653-6161",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3620603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHORE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ira S Wertheimer, D.O.
• Anne Wildermuth, PA-C
• Benjamin Wilkins, BCBA
• William J Morrow DO PA
• William M. Wixted M.D., P.C.
• William M Wixted, M.D.
• Donald Wong, RPH CIP
• Karen Wyatt, PTA
• Justin Peter Yandoli, DPT
• Ravi Yangala, M.D.

• Durable Medical Equipment & Medical Supplies in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.