Jan I Wolitzky, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00107500 Issued in NJ

Practice address

766 US Highway 202 206
Suite 1
Bridgewater, NJ 08807-1773

Phone

(908) 722-0808

Fax

(908) 722-7645

NPI assigned

Jun 13, 2006

Sex

Male

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Livingston Hospital Physicians, P.a.

  • General Practice Physician
  • Livingston, NJ
  • NPI 1659372662
  Medicare reassignment
• Robert Wood Johnson Physician Enterprise

  • Family Medicine Physician
  • Somerset, NJ
  • NPI 1245587922
  Medicare reassignment
• Bridgewater Medical Group

  • Multi-Specialty Clinic/Center
  • Bridgewater, NJ
  • NPI 1821031568
  NPD (past)
• Hospitalists Emo, LLC

  • Hospitalist Physician
  • Livingston, NJ
  • NPI 1275575623
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1154364768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 US HIGHWAY 202 206",
            "address_2": "SUITE 1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071773",
            "telephone_number": "908-722-0808",
            "fax_number": "908-722-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 US HIGHWAY 202 206",
            "address_2": "SUITE 1",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071773",
            "telephone_number": "908-722-0808",
            "fax_number": "908-722-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLITZKY",
        "first_name": "JAN",
        "middle_name": "I",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00107500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simira Louise Wilson, LCSW
• Paula Lee Winder, PT
• John R Wittenborn, MD
• Sarah Woerner
• William Wolf
• Ayanna R. Woltz, M.D.
• Derek Wood, OT
• Brandon Woolley
• Diane Wormser, PT, MS
• Holli Michelle Wright, MS, PT

• Medical Physician Assistant in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.