Active NPI
Kayla Marie Wittenberg
- Physician Assistant
- Edison, NJ
National Provider Identifier
1619868429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP01001100
- Practice address
- 205 May St Ste 201
Edison, NJ 08837-3267 - Phone
- (732) 661-9225
- NPI assigned
- Jul 10, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 25MP01001100 | NJ | Primary |
Addresses
Primary practice location
205 May St Ste 201
Edison, NJ 08837-3267
Mailing address
331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688
Other practice location 1
10 Lincoln Sq
Worcester, MA 01608-1135
Phone (508) 887-3746
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP01001100 | NJ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1619868429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD",
"address_2": "BLDG 2, STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MAY ST STE 201",
"city": "EDISON",
"state": "NJ",
"postal_code": "088373267",
"telephone_number": "732-661-9225"
}
],
"practiceLocations": [
{
"address_1": "10 Lincoln Sq",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016081135",
"country_code": "US",
"telephone_number": "508-887-3746",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITTENBERG",
"first_name": "KAYLA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-10",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP01001100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.