A.D.J. Wilson LLC · Trauma Surgery Physician

132 Myrtle Ave Apt 21, Fort Lee, NJ 07024-7925

Overview

A.D.J. Wilson LLC is a Trauma Surgery Physician (organization) practicing in Fort Lee, New Jersey. The National Provider Identifier (NPI) is #1962237933, which was assigned on September 7, 2024, and the registration record was last updated on September 20, 2024. The practitioner's main practice location is at 132 Myrtle Ave Apt 21, Fort Lee, NJ 07024-7925; the contact telephone number is 2153702606. The primary taxonomy of A.D.J. Wilson LLC is Trauma Surgery Physician (2086S0127X), with specialization in Trauma Surgery. The authorized official for A.D.J. Wilson LLC is Dr. Abralena De Jesus Wilson (Owner).

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Provider Information

NPI 1962237933
Entity Type Organization
Organization Name A.D.J. WILSON LLC
Provider Name A.D.J. WILSON LLC
Practice Address 132 Myrtle Ave Apt 21
Fort Lee
NJ 07024-7925
Practice Telephone 2153702606
Mailing Address 132 Myrtle Ave Apt 21
Fort Lee
NJ 07024-7925
Mailing Telephone 2153702606
Certification Date 2024-09-20
Enumeration Date 2024-09-07
Last Update Date 2024-09-20
Is Organization Subpart N

Authorized Official Information

Official Name DR. ABRALENA DE JESUS WILSON
Official Title OWNER
Credential DO
Telephone 2153702606

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2086S0127XSurgeryTrauma Surgery193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 2086S0127X
Taxonomy Trauma Surgery Physician
Classification Surgery
Specialization Trauma Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Juliet H Roux 3215 N Northhills Blvd, Fayetteville, AR 72703-4424Trauma Surgery Physician2026-01-12
Lauren Henderson Bischoff 4750 Waters Ave Ste 452, Savannah, GA 31404-6235Trauma Surgery Physician2017-03-31
Leah Marian Aakjar 330 Washington St Ste 420, Norwich, CT 06360-2700Trauma Surgery Physician2019-03-25
Jesse Cuevas 4626 Highlands Place Dr, Lakeland, FL 33813-2120Trauma Surgery Physician2025-12-12
North Idaho Endoscopy and Surgical Specialists, PLLC 3318 N Grandmill Ln, Coeur D Alene, ID 83814-5689Trauma Surgery Physician2024-08-19
Sarah Michelle King Joergensen 7222 Euclid Ave Apt 203, Cleveland, OH 44103-4019Trauma Surgery Physician2024-06-18
Marisa Yvonne Plagens 1 Hurley Plz, Flint, MI 48503-5902Trauma Surgery Physician2026-01-27
Brooke Elizabeth Smith 3419 Sunset Dr, Columbus, OH 43221-1711Trauma Surgery Physician2024-12-16
Stephen Kyle Paul · Stephen Paul 562 N Main St, Springboro, OH 45066-9552Trauma Surgery Physician2017-04-14
Cameron Ellese Mangiafico 1500 Red River St, Austin, TX 78701-1918Trauma Surgery Physician2026-01-21
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Location Information

Street Address 132 MYRTLE AVE APT 21
City FORT LEE
State NJ
Zip Code 07024-7925
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Evelyn Yazmin Aguin Cun 411 Center St # A, Fort Lee, NJ 07024-2612Behavioral Analyst2025-05-29
Pharmacy Junction 266 Columbia Ave, Fort Lee, NJ 07024-4125Community/Retail Pharmacy2025-12-05
Laconia Foot Surgeons PC 1221 16th St, Fort Lee, NJ 07024-1710Foot & Ankle Surgery Podiatrist2025-12-16
Bibeka Koirala, Dmd, Inc. 810 Abbott Blvd Ste 203, Fort Lee, NJ 07024-4116General Practice Dentistry2025-05-07
Dahlias Home Care Agency, LLC 1605 John St Ste 108, Fort Lee, NJ 07024-2577Home Health Agency2023-10-27
Victoria Lecorian Johnson · Victoria L Johnson- Rivers 804 Fairview Ln Apt 2, Fort Lee, NJ 07024-1568Psychiatry Physician2015-06-08
Elizabeth Palughi 800 Park Ave, Fort Lee, NJ 07024-3768Audiologist-Hearing Aid Fitter2025-08-20
Natalia Konstancja Massar 555 North Ave Apt 12s, Fort Lee, NJ 07024-2414Psychiatric/Mental Health Nurse Practitioner2016-07-29
Catherine Xin Wu Burnett 1350 15th St Apt 8p, Fort Lee, NJ 07024-2017Social Worker2025-07-18
Zendays Therapy LLC 100 Park Ave, Fort Lee, NJ 07024-3806Behavioral Analyst2025-11-24
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Rebekah Wilson Epperly · Rebekah Wilson Hoh 300 Kenton Drive, Suite 100, Charleston, WV 25311-1266Family Nurse Practitioner2021-08-22
Tina Wilson Grisby 9431 Al Highway 22, Maplesville, AL 36750-3264Professional Counselor2023-05-09
Shenelle Wilson · Shenelle Nicole Wilson 2204 Pavilion Dr Ste 310, Kingsport, TN 37660-4653Urology Physician2012-08-01
Emily Wilson Pyne · Emily Anna Wilson 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703Family Nurse Practitioner2018-08-23
Andrea Taylor Wilson Graf · Andrea Wilson 4185 Walt Robertson Rd, Lexington, KY 40511-1499Student in an Organized Health Care Education/Training Program2026-01-20
Winnie Wilson Gupta 1315 S Winchester Blvd, San Jose, CA 95128-4320General Practice Dentistry2018-06-12
Yadira Wilson Binns 598 Broadway Fl 12, New York, NY 10012-3351Massage Therapist2025-06-23
Kaylee Cheryl Wilson Belt · Kaylee Wilson 2552 Val Marie Dr, Madison, TN 37115-2391Clinical Social Worker2016-12-09
Sarah R Wilson-Montemayor 5441 S Macadam Ave Ste R, Portland, OR 97239-3822Professional Counselor2025-07-29
Lindsey Wilson Schreiber · Lindsey Ramey Wilson 312 N Weaver St, Belgrade, MT 59714-3732Occupational Therapist2020-07-22

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.