Wanda Kietlinski, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02156000 Issued in NJ

Practice address

260 Broadway
Elmwood Park, NJ 07407-3522

Phone

(973) 324-1000

Fax

(973) 324-2121

NPI assigned

Mar 28, 2006

Last updated

Sep 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• A Center for Foot and Ankle Surgery, P.a.

  • Foot & Ankle Surgery Podiatrist
  • North Bergen, NJ
  • NPI 1396926119
  NPD (past)
• Hackensack Foot and Ankle Center

  • Foot & Ankle Surgery Podiatrist
  • Hackensack, NJ
  • NPI 1871794982
  NPD (past)
• Joanne Guadara & Maryanne Guadara Partners

  dba Bergen Chiropractic Arts

  • Chiropractor
  • Hackensack, NJ
  • NPI 1629384128
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1114987542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BROADWAY",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073522",
            "telephone_number": "973-324-1000",
            "fax_number": "973-324-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BROADWAY",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074073522",
            "telephone_number": "973-324-1000",
            "fax_number": "973-324-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIETLINSKI",
        "first_name": "WANDA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02156000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan W. Juco, M.D., FRCPC
• Stuart Alan Katz, DMD
• J. Patrick Kelly, PHD
• Paul Kezmarsky
• Fuad M Kiblawi, M.D.
• Bomee Kim
• Lawrence Kim, DPT
• Yeonsoo Kim
• Danielle Labianco, MED, ATC
• Leonid Lamper, MD

• Pharmacist in Elmwood Park, NJ
• Providers in Elmwood Park, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2022; 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.