1952610768 NPI number — THE WOODS O.R., INC.

Table of content: (NPI 1952610768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952610768 NPI number — THE WOODS O.R., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE WOODS O.R., INC.
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:
6
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:
1952610768
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
331 NEWMAN SPRINGS RD STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RED BANK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07701-5691
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-333-8720
Provider Business Mailing Address Fax Number:
732-747-2606

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 EXECUTIVE DR
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
TINTON FALLS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07701-4933
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-741-0970
Provider Business Practice Location Address Fax Number:
732-747-2606
Provider Enumeration Date:
09/28/2010

Additional Information

Authorized Official

Authorized Official Last Name:
CRUZ
Authorized Official First Name:
KRISTINA
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING MANAGER
Authorized Official Telephone Number:
732-741-0970

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com