Ronda M Whitley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07037700 Issued in NJ

Practice address

1 Path PLZ
Concourse Level
Jersey City, NJ 07306-2905

Phone

(201) 216-6696

Fax

(201) 216-6694

NPI assigned

Jul 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1043650278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AMES PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602953",
            "telephone_number": "973-476-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PATH PLZ",
            "address_2": "CONCOURSE LEVEL",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062905",
            "telephone_number": "201-216-6696",
            "fax_number": "201-216-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "RONDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07037700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westside Pharmacy LLC (westside pharmacy)
• Westside Radiology Associates, PC (East 95th Street Radiology)
• Ryan Whitcomb, RD
• Amari M. White, D.P.M.
• Qunita S Whitely
• Elizabeth Wick, PTA
• Constance Wieczorek, LSW
• Celina Marie Wigle-Olias-Varga, LSW
• Samantha Hope Wilcox, PA-C
• Dafna Rachel Wild, PA

• Internal Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.