Woodbriar Health Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0947 Issued in MA

Legal business name

WOODBRIAR HEALTH CENTER, LLC

Doing business as

Woodbriar Health Center

Practice address

90 West St
Wilmington, MA 01887-3039

Phone

(978) 658-2700

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Eli Fisch

Title

Director of Vendor Relations

Phone

(732) 710-4431

Specialties & licenses 1

Addresses

Other names 1

• Woodbriar Health Center Doing business as

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1699165191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 LAKEWOOD RD",
            "address_2": "FLOOR 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551524",
            "telephone_number": "732-710-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WEST ST",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018873039",
            "telephone_number": "978-658-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRIAR HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "DIRECTOR OF VENDOR RELATIONS",
        "authorized_official_telephone_number": "732-710-4431",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbriar Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David Wojtczak, R.P.H.
• Viktoria Rose Worthen-Sluz
• Robin R Wright, LICSW
• Katie-Ann Xydias, FNP
• Kelly Anne Yonaker, RN
• Gelisha M. Zegri, RPH

• Skilled Nursing Facility in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.