Frank Lawrence Wilczynski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB03495200 Issued in NJ

Practice address

817 E Gate Dr
Mount Laurel, NJ 08054-1208

Phone

(856) 778-1090

Fax

(856) 778-9191

NPI assigned

Nov 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• DRX Paramus, LLC

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1316272685
  Medicare reassignment Care Compare group NPD
• GT Urgent Care PC

  • Urgent Care Clinic/Center
  • Clementon, NJ
  • NPI 1114327830
  Medicare reassignment NPD
• Jersey Irish Medical

  • Urgent Care Clinic/Center
  • Bound Brook, NJ
  • NPI 1144575739

  Family Medicine

  Medicare reassignment NPD
• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment NPD

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992876023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W 2ND AVE",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080216142",
            "telephone_number": "856-627-7795",
            "fax_number": "856-627-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E GATE DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541208",
            "telephone_number": "856-778-1090",
            "fax_number": "856-778-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCZYNSKI",
        "first_name": "FRANK",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB03495200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00169500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Alexandra West, DO
• Chantay C White, MEDICAL ASSISTANT
• Tanner C White
• Whiting Health & Rehabilitation Center
• Katelynn Wiamer
• Barbra Wilen, OTR/L
• Dana Lynn Willerton, PA-C
• William L. Shinefield
• Afton Williams
• Ashana Evette Williams, PH.D

• Family Medicine Physician in Mount Laurel, NJ
• Providers in Mount Laurel, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.