JOHN D WILGUCKI DO LLC NPI 1912175365

NPI Information

NPI: 1912175365
Provider Name: JOHN D WILGUCKI DO LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1500 SAINT GEORGES AVE
AVENEL, NJ
ZIP 07001
Phone: (732) 388-3030
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JOHN D WILGUCKI DO LLC is a durable medical equipment medical supplies in Avenel, NJ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JOHN D WILGUCKI DO LLC NPI is 1912175365. The provider is registered as an organization entity type.

The provider's business location address is:

1500 SAINT GEORGES AVE
AVENEL, NJ
ZIP 07001-000
Phone: (732) 388-3030

The provider's authorized official is John D Wilgucki .
The authorized official title is Ophthalmologist and has the following contact phone number (732) 388-3030.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 5/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		MB56000	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E86536	MEDICARE UPIN
2	1457418642	OTHER		HEALTHNET
3	5805802	MEDICAID	NEW JERSEY
4	0664730001	MEDICARE NSC	NEW JERSEY
5	=========	OTHER	NEW JERSEY	EIN
6	=========	OTHER		HORIZON BC/BS
7	123015	OTHER		AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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