Real Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REAL WELLNESS LLC

Practice address

318 Haddon Ave FL 1
Haddon Township, NJ 08108-2825

Phone

(856) 656-6859

Fax

(856) 240-1829

NPI assigned

Dec 16, 2018

Organization subpart

No

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

Authorized official

Name

Robert Jerald Winn, MDNPI 1629096821

Title

Owner

Phone

(856) 656-6859

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19025/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Robert Jerald Winn, M.D.

  • General Practice Physician
  • Haddon Township, NJ
  • NPI 1629096821

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1699246827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HADDON AVE FL 1",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082825",
            "telephone_number": "856-656-6859",
            "fax_number": "856-240-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 HADDON AVE FL 1",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082825",
            "telephone_number": "856-656-6859",
            "fax_number": "856-240-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-656-6859",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Haddon Township, NJ
• Providers in Haddon Township, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.