Active NPI
Renata Alma Wix-Harris, M.D.
- Family Medicine Physician
- Martinsville, NJ
National Provider Identifier
1043375918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27765
- Practice address
- 1924 Washington Valley Rd
Martinsville, NJ 08836-2031 - Phone
- (732) 356-1666
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA09895500 | NJ | |
| Family Medicine Physician | 207Q00000X | 27765 | AL | Primary |
Addresses
Primary practice location
1924 Washington Valley Rd
Martinsville, NJ 08836-2031
Mailing address
11 Slack CT
Bridgewater, NJ 08807-5775
Phone (251) 295-7840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27765 | AL | MD | Family Medicine Physician |
| 25MA09895500 | NJ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1043375918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 SLACK CT",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088075775",
"telephone_number": "251-295-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 WASHINGTON VALLEY RD",
"city": "MARTINSVILLE",
"state": "NJ",
"postal_code": "088362031",
"telephone_number": "732-356-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIX-HARRIS",
"first_name": "RENATA",
"middle_name": "ALMA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA09895500",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "27765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.