Active NPI
Natalya Valery Wittman, PA
- Physician Assistant
- New York, NY
National Provider Identifier
1609054238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 012253
- Practice address
- 1305 York Ave FL 9
New York, NY 10021-5663 - Phone
- (646) 962-3376
- NPI assigned
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 012253 | NY | Primary |
Addresses
Primary practice location
1305 York Ave FL 9
New York, NY 10021-5663
Mailing address
400 E 71St St Apt 21M
New York, NY 10021-4819
Phone (917) 375-6496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012253 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1609054238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 71ST ST APT 21M",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214819",
"telephone_number": "917-375-6496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 YORK AVE FL 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215663",
"telephone_number": "646-962-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTMAN",
"first_name": "NATALYA",
"middle_name": "VALERY",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.