Organization Active NPI

Wjo Inc.

  • Family Medicine Physician
  • Levittown, PA
National Provider Identifier
1639125347
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WJO INC.
Practice address
1108 Woodbourne Rd
Levittown, PA 19057-1004
Phone
(267) 583-1300
Fax
(215) 504-9260
NPI assigned
May 25, 2006
Organization subpart
Yes
Parent organization
WJO INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Kristine McManus
Title
Director, Human Resources
Phone
(215) 757-0465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1108 Woodbourne Rd
Levittown, PA 19057-1004

Mailing address

3554 Hulmeville Rd.
Suite 103
Bensalem, PA 19020
Phone (215) 757-0465

Other identifiers 2

IdentifierTypeStateIssuer
2350100000OtherPAIBC
1675135OtherPAHIGHMARK

Other names 1

  • Oxford Valley Family Practice and Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Wjo Inc

Locations

3554 Hulmeville Rd
Ste 103
Bensalem, PA 19020
Phone (215) 633-1750

1108 Woodbourne Rd
Levittown, PA 19057
Phone (267) 583-1300

2950 S Eagle Rd
Newtown, PA 18940
Phone (215) 504-9255

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1639125347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3554 HULMEVILLE RD.",
            "address_2": "SUITE 103",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020",
            "telephone_number": "215-757-0465",
            "fax_number": "215-757-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 WOODBOURNE RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571004",
            "telephone_number": "267-583-1300",
            "fax_number": "215-504-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJO INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WJO INC.",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "DIRECTOR, HUMAN RESOURCES",
        "authorized_official_telephone_number": "215-757-0465"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2350100000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1675135",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Valley Family Practice and Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.