Active NPI
Wanshu Di
- Neurology Physician
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA10531100
- Practice address
- 1505 W Sherman Ave
Vineland, NJ 08360-7059 - Phone
- (856) 641-8000
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 25MA10531100 | NJ | Primary |
Addresses
Primary practice location
1505 W Sherman Ave
Vineland, NJ 08360-7059
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
155 Bridgeton Pike Ste C
Mullica Hill, NJ 08062-2639
Phone (856) 994-0005
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Hofstra North Shore - Lij School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Cooper PLZ
Camden, NJ 08103-1438
3 Cooper PLZ
RM 104
Camden, NJ 08103-1407
Phone (856) 968-7965
Hospital & facility affiliations
- Inspira Medical Center Vineland
- Inspira Medical Center Mullica Hill
- Cooper University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Department of Medicine Group PA | Current | Accepting new patients |
Locations
3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770
1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
Interoperability endpoints
- wdi166877@direct.cooperhealth.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1609908094
-
- Specialist
- Camden, NJ
- NPI 1386682094
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1649664889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935",
"fax_number": "732-790-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 W SHERMAN AVE",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083607059",
"telephone_number": "856-641-8000"
}
],
"practiceLocations": [
{
"address_1": "155 Bridgeton Pike Ste C",
"address_purpose": "LOCATION",
"city": "Mullica Hill",
"state": "NJ",
"postal_code": "080622639",
"country_code": "US",
"telephone_number": "856-994-0005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DI",
"first_name": "WANSHU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA10531100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.