Witness Cares, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

WITNESS CARES, LLC

Doing business as

Witness CARES, LLC

Practice address

Elm and Carlton St
Buffalo, NY 14263-0001

Phone

(716) 302-4137

Fax

(716) 845-3511

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Detric D Johnson, CASE MANAGEMENTNPI 1568958890

Title

President

Phone

(716) 302-4137

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Witness CARES, LLC Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Detric D Johnson

  • Community Health Worker
  • Buffalo, NY
  • NPI 1568958890
  NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1417589904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 WYOMING AVE STE A",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153137",
            "telephone_number": "716-302-4137",
            "fax_number": "716-845-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-302-4137",
            "fax_number": "716-845-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITNESS CARES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DETRIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-302-4137",
        "authorized_official_credential": "CASE MANAGEMENT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WC02122020",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "endpointDescription": "Healthelink",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Elm and Carlton St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142630001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Witness CARES, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agnieszka K. Witkiewicz, M.D.
• Brenda Witkowski
• Jenna Lynn Witkowski, LCSW
• Jodi L Witman, NP
• Kathleen Joelle Witmer
• Richard James Witt, OPTICIAN
• Christine Marie Wittenberg, LMSW
• Katherine Witter, PA-C
• Sharon Ruth Wittman-Klein, R.P.A.-C
• Lindsay Ann Wittman, O.D.

• Health Maintenance Organization in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.