Willard H Cook, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA02769100 Issued in NJ

Legal business name

WILLARD H COOK, MD, LLC

Practice address

59 Avenue at the CMN
Shrewsbury, NJ 07702-4806

Phone

(732) 542-7013

Fax

(732) 542-0991

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Meyerhoff

Title

Billing MGR

Phone

(908) 237-9092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1710236872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 AVENUE AT THE CMN",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024806",
            "telephone_number": "732-542-7013",
            "fax_number": "732-542-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVENUE AT THE CMN",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024806",
            "telephone_number": "732-542-7013",
            "fax_number": "732-542-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLARD H COOK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MEYERHOFF",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "908-237-9092"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA02769100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.