William Tishuk, CADC, CPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2100 Wescott Dr
Flemington, NJ 08822-4603

Phone

(908) 788-6401

NPI assigned

Feb 22, 2024

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)

Not enrolled

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1386400950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078820345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WESCOTT DR",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224603",
            "telephone_number": "908-788-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISHUK",
        "first_name": "WILLIAM",
        "credential": "CADC, CPRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Thomas, AGPCNP-C
• Regies C Thoonkuzhy
• Sarah Ann Thor, LAC
• Sean Thorne, MSED, MSW, LCSW
• Joy Lutz Tindall, ED.D.
• Titan Health Partners LLC
• Ankur Tiwari, MD
• Theresa Tomy, APN
• Glen Erik Tonnessen, MD
• Top Foot Care PC

• All providers in Flemington, NJ
• Peer Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.