Active NPI
Wije Kottahachchi, M.D.
- Pediatrics Physician
- Perth Amboy, NJ
National Provider Identifier
1275644064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 37306
- Practice address
- 468 Amboy Ave
Perth Amboy, NJ 08861-3143 - Phone
- (732) 442-1820
- Fax
- (732) 442-2918
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 37306 | NJ | Primary |
Addresses
Primary practice location
468 Amboy Ave
Perth Amboy, NJ 08861-3143
Mailing address
468 Amboy Ave
Perth Amboy, NJ 08861-3143
Phone (732) 442-1820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2442809 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37306 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutan Nadkarni MD Faap LLC | Pediatrics | Past | Accepting new patients |
| Wije Kottahachchi, MD Faap | Pediatrics | Past | Accepting new patients |
| Anita Kishen MD LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275644064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 AMBOY AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613143",
"telephone_number": "732-442-1820",
"fax_number": "732-442-2918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 AMBOY AVE",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088613143",
"telephone_number": "732-442-1820",
"fax_number": "732-442-2918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTTAHACHCHI",
"first_name": "WIJE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "37306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2442809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.