Victoria P Width, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100389600 Issued in NJ

Practice address

67 Beaver Ave
Suite 10
Annandale, NJ 08801-3071

Phone

(908) 238-0065

Fax

(908) 238-0067

NPI assigned

Dec 20, 2005

Last updated

Jul 8, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Subhashchandra Javia,M.D.P.C.

  • Neurology Physician
  • Phillipsburg, NJ
  • NPI 1942309323
  NPD (past)
• Govindji Fuletra MD PC

  • Internal Medicine Physician
  • Easton, PA
  • NPI 1447228911
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265418339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BEAVER AVE",
            "address_2": "SUITE 10",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013071",
            "telephone_number": "908-238-0065",
            "fax_number": "908-238-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BEAVER AVE",
            "address_2": "SUITE 10",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "088013071",
            "telephone_number": "908-238-0065",
            "fax_number": "908-238-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDTH",
        "first_name": "VICTORIA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100389600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007829416",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2101642",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caryssa Vitelli, M.S., OTR
• Tiffany Lynn Walck, APN-C
• Peter Jon Warren, MPT
• Amy E Weller, PT, DPT
• Deborah Wentz, RN
• Wild Roots Counseling and Psychological Services LLC
• Breanua Janai Williams, PT, DPT
• Thoma H. Woo, M.D.

• Psychologist in Annandale, NJ
• Providers in Annandale, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.