Peter Widdess-Walsh, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25MA08082500 Issued in NJ

Practice address

200 S Orange Ave
Ste 101
Livingston, NJ 07039-5817

Phone

(973) 322-7580

Fax

(973) 322-7505

NPI assigned

Aug 27, 2006

Last updated

Aug 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Crosfield Medical Associates

  • Neurology Physician
  • West Nyack, NY
  • NPI 1609093186
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1316055742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 41ST ST",
            "address_2": "STE 1206",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176222",
            "telephone_number": "212-725-8511",
            "fax_number": "212-726-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "STE 101",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-7580",
            "fax_number": "973-322-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDDESS-WALSH",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08082500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis L Weng, M.D.
• West Essex OB-GYN Associates, P.C.
• Sarah West, LAC
• Wholecare New Jersey
• Wichitanigmedicalsupplies
• Jaclyn Faye Wiener, D.O.
• Anthony Wiggins
• Joseph M. Wildman, MD
• Veronica Wilenta
• Danielle Nicole Williams, PA-C

• Neurology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.