NPIMap

Organization Active NPI

Wiwat, P.C.

  • Public Health & General Preventive Medicine Physician
  • Wakefield, MA
National Provider Identifier
1093081549
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
76869 Issued in MA
Legal business name
WIWAT, P.C.
Practice address
10 Richardson Ave
Unit a
Wakefield, MA 01880-2913
Phone
(781) 245-1223
NPI assigned
Mar 29, 2012
Last updated
Mar 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Authorized official

Name
Dr. Daniel J Witkowski, M.D.NPI 1235123845
Title
President
Phone
(781) 245-1223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 76869 MA Primary

Addresses

Primary practice location

10 Richardson Ave
Unit a
Wakefield, MA 01880-2913

Mailing address

10 Richardson Ave
Unit a
Wakefield, MA 01880-2913
Phone (781) 245-1223

Other identifiers 1

IdentifierTypeStateIssuer
110053491AMedicaidMA

National Provider Directory

National Provider Directory

Locations

10 Richardson Ave
Unit A
Wakefield, MA 01880
Phone (781) 245-1223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1093081549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 RICHARDSON AVE",
            "address_2": "UNIT A",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802913",
            "telephone_number": "781-245-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RICHARDSON AVE",
            "address_2": "UNIT A",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018802913",
            "telephone_number": "781-245-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIWAT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "WITKOWSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-245-1223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MA",
            "license": "76869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110053491A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.