Ann Marie Witheridge, APN,C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00084700 Issued in NJ

Practice address

126 E. Lincoln Ave, Merck & Co., Pob 2000
Ry 59-10
Rahway, NJ 07065

Phone

(732) 594-0704

Fax

(732) 594-3548

NPI assigned

Apr 4, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Premier Family Physicians MDPC

  • Family Medicine Physician
  • Somerset, NJ
  • NPI 1538279799
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265554117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ZIRKEL AVE",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088545713",
            "telephone_number": "732-594-0704",
            "fax_number": "732-594-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E. LINCOLN AVE, MERCK & CO., POB 2000",
            "address_2": "RY 59-10",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "732-594-0704",
            "fax_number": "732-594-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERIDGE",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00084700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0085243",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellnest Chiro
• Kenneth Weyback, O.D.
• Michelle Williams, O.D.
• Jody F Winard, PTA
• Jon G Wininger, MD
• Alexander Wojno-Oranski, D.O.
• Michelle Ye, MD
• Jane Yi, RD
• Frances Dae Il Yim, M.D.
• Young I. Lee MD PA

• Family Nurse Practitioner in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Family Nurse Practitioner 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.