DR. MORDECAI M. WITKIN (NPI# 1023096997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023096997 |
| Entity Type | Individual |
| Full Name | DR. MORDECAI M. WITKIN |
| Credential | D.P.M. |
| Practice Address |
504 Valley Rd Wayne NJ 07470-3534 |
| Mailing Address |
72 Conforti Ave West Orange NJ 07052-2828 |
| Practice Telephone | 9736966677 |
| Mailing Telephone | 9733259228 |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2009-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
25MD00197600 | NJ | Podiatric Medicine & Surgery Service Providers |
| Street Address |
504 VALLEY RD |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635964 | Signal Neuromonitoring, LLC | Specialist | 504 Valley Rd, Wayne, NJ 07470-3534 | 2020-10-06 |
| 1427681402 | Advanced Hand Surgery and Orthopedics Pa | Orthopaedic Surgery | 504 Valley Rd, Suite 201, Wayne, NJ 07470-3534 | 2020-02-18 |
| 1740703206 | Colleen Patricia Joseph | Physician Assistant | 504 Valley Rd, Wayne, NJ 07470-3534 | 2017-07-17 |
| 1508264235 | Erin Simon | Physician Assistant | 504 Valley Rd, Wayne, NJ 07470-3534 | 2014-12-11 |
| 1649688243 | Mark Joseph Oberthaler | Physician Assistant | 504 Valley Rd, Wayne, NJ 07470-3534 | 2014-07-27 |
| 1447668041 | Erica Stephanie Simone | Specialist/Technologist | 504 Valley Rd, Suite 200, Wayne, NJ 07470-3534 | 2014-07-27 |
| 1457698805 | Surgery Services | Surgery | 504 Valley Rd, Suite 201, Wayne, NJ 07470-3534 | 2013-01-04 |
| 1285942268 | Craig Wright | Orthopaedic Surgery | 504 Valley Rd, Suite 200, Wayne, NJ 07470-3534 | 2010-09-23 |
| 1821224429 | New Jersey Orthopaedic Institute, LLC | Orthopaedic Surgery | 504 Valley Rd, Suite 200, Wayne, NJ 07470-3534 | 2009-06-09 |
| 1881847192 | Wayne Valley Imaging | Radiology | 504 Valley Rd, Wayne, NJ 07470-3534 | 2008-10-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710405675 | Owen Morris | Podiatrist | 510 Hamburg Tpke Ste 108, Wayne, NJ 07470-2033 | 2017-08-31 |
| 1811379605 | Eric Freiler | Podiatrist | 510 Hamburg Tpke Ste 108, Wayne, NJ 07470-2033 | 2015-06-29 |
| 1649348947 | Paul G Klein | Podiatrist | 401 Hamburg Tpke, Suite 110, Wayne, NJ 07470-2154 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296731 | Clinical Health Care Associates of New Jersey PC | Podiatrist | 5000 Dearborn Cir, Mount Laurel, NJ 08054-4108 | 2020-08-20 |
| 1144788183 | Hudson Ortho Group | Podiatrist | 444 Market St Ste 2a, Saddle Brook, NJ 07663-5996 | 2019-03-08 |
| 1134684970 | Hudson Ortho Group | Podiatrist | 1320 Adams St Ste E, Hoboken, NJ 07030-2370 | 2019-02-06 |
| 1629551908 | Jonathan Roy Dpm PC | Podiatrist | 140 N Rte 17 Ste 103, Paramus, NJ 07652-2809 | 2018-09-12 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1720517360 | North Plainfield Podiatry | Podiatrist | 654 Mount Prospect Ave # 301, Newark, NJ 07104-3110 | 2017-06-07 |
| 1366844870 | Urwah Haq | Podiatrist | 1529 Route 206 Ste L, Tabernacle, NJ 08088-8801 | 2014-09-16 |
| 1023372653 | Alicia Lai | Podiatrist | 3003 English Creek Ave Ste C5, Egg Harbor Township, NJ 08234-4818 | 2012-06-28 |
| 1073825535 | Rhonda Lynn Hazell | Podiatrist | 900 Pear St, Cinnaminson, NJ 08077-1922 | 2010-07-12 |
| 1497988737 | Podiatry House Calls, LLC | Podiatrist | 225 N Gladstone Ave, Margate City, NJ 08402-1705 | 2009-09-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.