Individual provider Active NPI

Renata Alma Wix-Harris, M.D.

  • Family Medicine Physician
  • Martinsville, NJ
National Provider Identifier
1043375918
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27765 Issued in AL
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

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
27765ALMDFamily Medicine Physician
25MA09895500NJMDFamily 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.

Verify at the official NPI Registry.