1851181515 NPI number — WILSON HOME HEALTH CARE & STAFFING SERVICES

Table of content: WILLIAM EDWARD COLYER D.O. (NPI 1205091139)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851181515 NPI number — WILSON HOME HEALTH CARE & STAFFING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILSON HOME HEALTH CARE & STAFFING SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851181515
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2517 ROUTE 35
Provider Second Line Business Mailing Address:
BLDG B, SUITE 101
Provider Business Mailing Address City Name:
MANASQUAN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08736
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-612-3146
Provider Business Mailing Address Fax Number:
732-607-4073

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2517 ROUTE 35
Provider Second Line Business Practice Location Address:
BLDG B, SUITE 101
Provider Business Practice Location Address City Name:
MANASQUAN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-612-3146
Provider Business Practice Location Address Fax Number:
732-607-4073
Provider Enumeration Date:
05/07/2025

Additional Information

Authorized Official

Authorized Official Last Name:
WILSON
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
732-612-3146

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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