Theodore Oswald Witter, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA051466 Issued in NJ

Practice address

17 Sylvan St Ste 201
Rutherford, NJ 07070-2069

Phone

(201) 438-2824

Fax

(201) 438-2108

NPI assigned

Aug 13, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

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.

• Alliance Community Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jersey City, NJ
  • NPI 1285662684
  NPD (past)
• Women and Children Primary Care of Passaic

  • Obstetrics & Gynecology Physician
  • Passaic, NJ
  • NPI 1831278282
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386656577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SYLVAN ST STE 201",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702069",
            "telephone_number": "201-438-2824",
            "fax_number": "201-438-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SYLVAN ST STE 201",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702069",
            "telephone_number": "201-438-2824",
            "fax_number": "201-438-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTER",
        "first_name": "THEODORE",
        "middle_name": "OSWALD",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA051466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0777901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abraham Joshua Weiss, LMFT
• Wendy Martinez, LLC
• Shaye Whaley
• Matthew White, D.C.
• Kelly Jean Wieczerzak, PT, DPT
• April Yalong, PHARMD
• Kamie Rachelle Young, PA-C
• Kenneth P. Zaorski, D.M.D.
• Sharon Zarate, LCSW
• Tiffany Zarcone, P.T.

• Specialist in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Specialist 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.