Organization Active NPI

Wije Kottahachchi, MD Faap

  • Pediatrics Physician
  • Perth Amboy, NJ
National Provider Identifier
1427450279
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WIJE KOTTAHACHCHI, MD FAAP
Practice address
468 Amboy Ave
Perth Amboy, NJ 08861-3143
Phone
(732) 442-1820
Fax
(732) 442-2918
NPI assigned
Sep 24, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Dr. Wije Kottahachchi, MDNPI 1275644064
Title
Ceo
Phone
(732) 442-1820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

468 Amboy Ave
Perth Amboy, NJ 08861-3143

Mailing address

468 Amboy Ave
Perth Amboy, NJ 08861-3143
Phone (732) 442-1820

Other identifiers 1

IdentifierTypeStateIssuer
2442809MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1427450279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 AMBOY AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613143",
            "telephone_number": "732-442-1820",
            "fax_number": "732-442-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 AMBOY AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613143",
            "telephone_number": "732-442-1820",
            "fax_number": "732-442-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIJE KOTTAHACHCHI, MD FAAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "KOTTAHACHCHI",
        "authorized_official_first_name": "WIJE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-442-1820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2442809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.