Active NPI
Richard S Witlin, MD
- Ophthalmology Physician
- East Brunswick, NJ
National Provider Identifier
1063459212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MA03593300
- Practice address
- 557 Cranbury Rd
Suite 15
East Brunswick, NJ 08816-5419 - Phone
- (732) 698-9300
- Fax
- (732) 625-0107
- NPI assigned
- May 31, 2006
- Last updated
- Aug 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MA03593300 | NJ | Primary |
Addresses
Primary practice location
557 Cranbury Rd
Suite 15
East Brunswick, NJ 08816-5419
Mailing address
557 Cranbury Rd
Suite 15
East Brunswick, NJ 08816-5419
Phone (732) 698-9300
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 |
|---|---|---|---|
| MA03593300 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BP Immediate Medical Care, PC | Past | Accepting new patients | |
| Richard S. Witlin MD PC | Ophthalmology | Past | Accepting new patients |
| Freehold Ophthalmology, LLC | Ophthalmology | Past | Accepting new patients |
| Associated Eye Physicians & Surgeons of N.J., P.a. | Ophthalmology | Past | Accepting new patients |
| Foholdings, LLC | Ophthalmology | Past | Accepting new patients |
| Rummel Eyecare Lowvision Care Center LLC | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Union, NJ
- NPI 1912094079
-
dba Witlin Center for Advanced Eyecare
- Ophthalmology Physician
- East Brunswick, NJ
- NPI 1962456509
-
- Ophthalmology Physician
- Freehold, NJ
- NPI 1861446932
-
- Ophthalmology Physician
- East Brunswick, NJ
- NPI 1275992653
-
- Optometrist
- Jackson, NJ
- NPI 1972898997
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1205105004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1063459212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 CRANBURY RD",
"address_2": "SUITE 15",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165419",
"telephone_number": "732-698-9300",
"fax_number": "732-625-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 CRANBURY RD",
"address_2": "SUITE 15",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088165419",
"telephone_number": "732-698-9300",
"fax_number": "732-625-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITLIN",
"first_name": "RICHARD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NJ",
"license": "MA03593300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.