Active NPI
Jessica Rachel Wood, DO
- Pediatrics Physician
- Tinton Falls, NJ
National Provider Identifier
1821183344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB08069000
- Practice address
- 55 N Gilbert St
Tinton Falls, NJ 07701-4904 - Phone
- (732) 842-6677
- Fax
- (732) 530-2946
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MB08069000 | NJ | Primary |
Addresses
Primary practice location
55 N Gilbert St
Tinton Falls, NJ 07701-4904
Mailing address
55 N Gilbert St
Tinton Falls, NJ 07701-4904
Phone (732) 842-6677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25MB08069000 | Other | NJ | MEDICAL LICENSE |
Other names 1
- Jessica Rachel McIntyre
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08069000 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Primary Care PC | Pediatrics | Past | Accepting new patients |
| Point Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://mepic.hmhn.org/fhir/api/FHIR/R4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Point Pleasant Boro, NJ
- NPI 1437627023
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1821183344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 N GILBERT ST",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014904",
"telephone_number": "732-842-6677",
"fax_number": "732-530-2946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 N GILBERT ST",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014904",
"telephone_number": "732-842-6677",
"fax_number": "732-530-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JESSICA",
"middle_name": "RACHEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB08069000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "25MB08069000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "MCINTYRE",
"middle_name": "RACHEL",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.