Active NPI
Jill S Wood, M.A., MFT
- Marriage & Family Therapist
- Egg Harbor Township, NJ
National Provider Identifier
1801130935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FI00160500
- Practice address
- 6106 Black Horse Pike
Egg Harbor Township, NJ 08234-9701 - Phone
- (609) 645-7779
- NPI assigned
- Nov 15, 2012
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FI00160500 | NJ | Primary |
Addresses
Primary practice location
6106 Black Horse Pike
Egg Harbor Township, NJ 08234-9701
Mailing address
6106 Black Horse Pike
Egg Harbor Township, NJ 08234-9701
Phone (609) 645-7779
Other practice location 1
222 New Rd Ste 405
Linwood, NJ 08221-1283
Phone (609) 742-1296
Other names 1
- Jill S Resnik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37FI00160500 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1801130935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6106 BLACK HORSE PIKE",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082349701",
"telephone_number": "609-645-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6106 BLACK HORSE PIKE",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082349701",
"telephone_number": "609-645-7779"
}
],
"practiceLocations": [
{
"address_1": "222 New Rd Ste 405",
"address_purpose": "LOCATION",
"city": "Linwood",
"state": "NJ",
"postal_code": "082211283",
"country_code": "US",
"telephone_number": "609-742-1296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "JILL",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "M.A., MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FI00160500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "RESNIK",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.