Mieczyslaw Witek, MSN,CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TP006127B Issued in PA

Practice address

21 E Palmer Ave
Collingswood, NJ 08108-1220

Phone

(856) 858-1647

NPI assigned

Jul 12, 2012

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1396000576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E PALMER AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081220",
            "telephone_number": "856-858-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E PALMER AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081220",
            "telephone_number": "856-858-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITEK",
        "first_name": "MIECZYSLAW",
        "name_prefix": "Mr.",
        "credential": "MSN,CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP006127B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wheeler, APN
• William M. Hasbun M.D. & Associates, P.C.
• Mona Williams, MS, LPC
• Maribel Willson, M.S.CCC SLP,TSSLD,BE
• Gail Wilson
• Erin Mary Wojcik, LSW
• Ryan Samuel Wooden, NP
• Ashley D Wright, BOCO
• Samantha Wurst, LPC
• Sue Yang-Novellino

• Family Nurse Practitioner in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Family Nurse Practitioner in New Jersey

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