William S Wood, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22D101059700 Issued in NJ

Practice address

3205 Brighton Ave
Wall Township, NJ 07719-4439

Phone

(732) 681-2093

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1629228630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 HIGHWAY 138",
            "address_2": "SUITE 104",
            "city": "WALL",
            "state": "NJ",
            "postal_code": "077193763",
            "telephone_number": "732-280-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 BRIGHTON AVE",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194439",
            "telephone_number": "732-681-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D101059700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well BL Opco LLC (Brandywine Living at Wall LLC)
• Evette S Wenzel, MD
• Kevin Wilson, LAC
• Kathryn Elizabeth Witczak, PA-C
• Robert William Wood
• Natalie S Woszczak, PYS.D
• Vanitha Yadalla, MD
• YMCA of the Jersey Shore
• Amy L Young, MSED., LPC, NCC
• Dawn Michelle Young, PT

• Dentist in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.

Verify at the official NPI Registry.