Pamela Ann Wittenberg, M.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

611681 Issued in NY

Practice address

472 Blank LN
Water Mill, NY 11976-2136

Phone

(631) 726-5029

NPI assigned

Jun 15, 2012

Last updated

Jun 15, 2012By 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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1285996173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 BLANK LN",
            "city": "WATER MILL",
            "state": "NY",
            "postal_code": "119762136",
            "telephone_number": "631-726-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 BLANK LN",
            "city": "WATER MILL",
            "state": "NY",
            "postal_code": "119762136",
            "telephone_number": "631-726-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENBERG",
        "first_name": "PAMELA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "611681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL SPECIAL INSTRUCTION PROVIDER",
            "identifier": "1265562979",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONGOING SERVICE COORDINATOR",
            "identifier": "1265562979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Mary Pearson, C.P.N.P.
• Beth T. Rosner, D.D.S.
• Barbara Rothberg, MSW, DSW
• Anna Silverberg, ANP-C
• Katarzyna Szafranska
• Michelle M Wruck, NP

• Specialist in Water Mill, NY
• Providers in Water Mill, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.