A.D.J. WILSON LLC — NPI 1962237933 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery

CMS-1500 Box 24J / 33a • NPI

1962237933

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2086S0127X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Trauma Surgery

Box 32 Service Location & ZIP+4

132 MYRTLE AVE APT 21, FORT LEE, NJ, 07024-7925

✓ 9-Digit EDI 837 ZIP+4 (07024-7925)

Practice Phone & Referral Fax

(215) 370-2606

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962237933 (A.D.J. WILSON LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1962237933` (NPI-2 Organization / Facility)
Provider / Legal Name	A.D.J. WILSON LLC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Trauma Surgery NUCC Code: `2086S0127X` (Surgery, Trauma Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	132 MYRTLE AVE APT 21, FORT LEE, NJ, 07024-7925
Practice Telephone / Fax	Tel: (215) 370-2606
Administrative Mailing Address	132 MYRTLE AVE APT 21, FORT LEE, NJ, 07024-7925
Enumeration & Last Sync	Enumerated: 2024-09-07 \| CMS Record Updated: 2024-09-20
Authorized Official	ABRALENA WILSON (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

132 MYRTLE AVE APT 21, FORT LEE, NJ, 07024-7925

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Plain-English Taxonomy & CMS Crosswalk (2086S0127X)

What Does Taxonomy Code 2086S0127X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0127X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Trauma Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Surgery, Trauma Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A.D.J. WILSON LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2086S0127X` — Surgery, Trauma Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Trauma Surgery	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A.D.J. WILSON LLC (NPI #1962237933)