Individual provider Active NPI

Winthrop Chalmers Dillaway III, M.D.

  • Family Medicine Physician
  • Morristown, NJ
National Provider Identifier
1194943191
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03845900 Issued in NJ
Practice address
11 Willard PL
Morristown, NJ 07960-2947
Phone
(862) 268-0986
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA03845900 NJ Primary

Addresses

Primary practice location

11 Willard PL
Morristown, NJ 07960-2947

Mailing address

11 Willard PL
Morristown, NJ 07960-2947
Phone (862) 268-0986

Other names 1

  • Dr. Winthrop Dillaway III Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 9, 2016 through Mar 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03845900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Family Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1194943191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WILLARD PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602947",
            "telephone_number": "862-268-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WILLARD PL",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079602947",
            "telephone_number": "862-268-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLAWAY",
        "first_name": "WINTHROP",
        "middle_name": "CHALMERS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03845900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WINTHROP",
            "last_name": "DILLAWAY",
            "prefix": "DR.",
            "suffix": "III",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.