Wisdom Health and Wellbeing LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

25MA07658700 Issued in NJ

Legal business name

WISDOM HEALTH AND WELLBEING LLC

Practice address

16 Pocono Rd Ste 304
Denville, NJ 07834-2908

Phone

(973) 671-1868

Fax

(973) 358-6594

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

George Wang, MDNPI 1669507588

Title

President

Phone

(973) 671-1868

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• George C. Wang, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Denville, NJ
  • NPI 1669507588
  Authorized official Same address or phone
• Meshack Owuor Odawo

  • Psychiatric/Mental Health Nurse Practitioner
  • Irvington, NJ
  • NPI 1750121190
  NPD (past)
• Evelyn Terreros-Ruesta, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1669291837
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1700258365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 304",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342908",
            "telephone_number": "973-671-1868",
            "fax_number": "973-358-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD STE 304",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342908",
            "telephone_number": "973-671-1868",
            "fax_number": "973-358-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM HEALTH AND WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-671-1868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07658700",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA07658700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Willis
• William John Willis, M.D.
• Deborah A Wilson, FMCHC
• Linda M Wimmer, RN
• Benjamin Winter
• Kimberly Withers
• Joel Jay Worob, RPH
• Jill Donna Worrall, LSW
• Candace Wu
• Jersey A Wulster, DC

• Geriatric Medicine (Internal Medicine) Physician in Denville, NJ
• Providers in Denville, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.