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JACK C. WU, M.D. P.A.
NPI 1396843777
Family Medicine in Westville, NJ

Active since September 20, 2006CLIA 31D2100840 · Waiver
219 HIGHLAND AVE, WESTVILLE, NJ 08093(856) 456-1881(856) 456-3959 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2022, Jan 28, 2021, Jul 10, 2017 and 2 more (5 updates tracked since 2017).

About Jack C. Wu, M.d. P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK C. WU, M.D. P.A. (NPI 1396843777) is a healthcare organization registered as a family medicine in Westville, New Jersey and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Kevin Wu, President, as its authorized official.

NPPES Registry Identity

NPI1396843777
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACK C. WU, M.D. P.A.
Location Address219 HIGHLAND AVEWestville, NJ 08093-1014
Mailing Address219 Highland AveWestville, NJ 08093-1014 · (856) 456-1881 · Fax (856) 456-3959
Phone(856) 456-1881
Fax(856) 456-3959
Organization SubpartNo
Authorized OfficialKevin WuPresident · (856) 456-1881
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 14, 20225 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1396843777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB07468500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPreferred Provider OrganizationTaxonomy 305R00000X · License 25MA298330 (NJ)
219 HIGHLAND AVE, Westville, NJ 08093
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2100840

Jack C Wu, MD, PA · Westville, NJ
Active · expires Aug 23, 2027
CLIA Number31D2100840
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorKevin Wu
Laboratory Phone(856) 456-1881
Laboratory LocationJack C Wu, MD, PA219 Highland Avenue, Westville, NJ 08093
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN WU D.O.
Family Medicine
219 HIGHLAND AVE
WESTVILLE, NJ 08093
Gloucester County (856) 456-1881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack C. Wu, M.D. P.A.'s NPI number?

The NPI number for Jack C. Wu, M.D. P.A. is 1396843777. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Jack C. Wu, M.D. P.A. located?

Jack C. Wu, M.D. P.A. is located at 219 Highland Ave, Westville, NJ 08093. The listed phone number is (856) 456-1881.

What is Jack C. Wu, M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jack C. Wu, M.D. P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2100840) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jack C. Wu, M.D. P.A. was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.