Kim Martin Widawsky (NPI# 1053484147, PAC ID# 5991070542) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053484147 |
| PAC ID by PECOS | 5991070542 |
| Professional Enrollment ID | I20171026000077 |
| Full Name | Kim Martin Widawsky |
| Organization Legal Name | VYTALIZ MEDICAL |
| Address |
89 Hudson St Hoboken NJ 07030-5644 |
| Phone Number | 2012052628 |
| Gender | F |
| Graduation Year | 1986 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567767106 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 89 Hudson St, Hoboken, NJ 07030-5644 | 2012052628 | VYTALIZ MEDICAL |
| 89 Hudson St, Suite 2, Hoboken, NJ 07030-5644 | 2012052628 | VYTALIZ MEDICAL |
| Organization Legal Name | VYTALIZ MEDICAL |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Rhodes | Nurse Practitioner | Vytaliz Medical | 89 Hudson St, Suite 2, Hoboken, NJ 07030-5644 |
| Ronn Mateo Callada | Nurse Practitioner | Vytaliz Medical | 298 5th Ave, Suite 4, New York, NY 10001-4522 |
| Lesia Christen | Nurse Practitioner | Vytaliz Medical | 60 Dutch Hill Rd, Suite 12, Orangeburg, NY 10962-1722 |
| Amer Alnajar | Internal Medicine | Vytaliz Medical | 60 Dutch Hill Rd, Suite 12, Orangeburg, NY 10962-1722 |
| Ruta Bondarenko | Nurse Practitioner | Vytaliz Medical | 1020 Main St, Paterson, NJ 07503-2244 |
| Street Address |
89 HUDSON ST |
| City | HOBOKEN |
| State | NJ |
| Zip | 07030-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann M Rhodes | Nurse Practitioner | Vytaliz Medical | 89 Hudson St, Suite 2, Hoboken, NJ 07030-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas D Bartolino | Physical Therapy | Ivyrehab Network Inc | 79 Hudson St, Hoboken, NJ 07030-0010 |
| Mary Grace Z Cabawatan | Physical Therapy | Sportscare of America, PC | 550 Newark Ave, Suite 403 404, Jersey City, NJ 07030-1326 |
| Marasol S Lofranco | Physical Therapy | Sportscare of America, PC | 550 Newark Ave, Suite 403 404, Jersey City, NJ 07030-1326 |
| Robert L Bardinas | Physical Therapy | Sportscare of America, PC | 550 Newark Ave, Suite 403 404, Jersey City, NJ 07030-1326 |
| Bianca A Chiara | Family Medicine | 133 Madison St, Suite A, Hoboken, NJ 07030-1833 | |
| Ricardo Matienzo | Family Medicine | 450 7th St, Hoboken, NJ 07030-2057 | |
| Aleksey Lazarev | Orthopedic Surgery | Hudson Ortho Group | 1320 Adams St, Suite E, Hoboken, NJ 07030-2370 |
| Shital Sharma | Podiatry | Hudson Ortho Group | 1320 Adams St, Suite E, Hoboken, NJ 07030-2370 |
| Roman Isaac | Orthopedic Surgery | 1320 Adams St, Suite De, Hoboken, NJ 07030-2370 | |
| Sandra M Pietrewicz | Physical Therapy | Craft Physical Therapy, LLC | 1422 Grand St, 4c, Hoboken, NJ 07030-2376 |
| Find all physicians in zip 07030 | |||
| City | HOBOKEN |
| Zip Code | 07030 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOBOKEN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kim Martin Widawsky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.