Active NPI
John Wittenberger, P.A.
- Physician Assistant
- West Reading, PA
National Provider Identifier
1720268907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA053014
- Practice address
- 6TH Avenue & Spruce Street
West Reading, PA 19611 - Phone
- (610) 568-3637
- NPI assigned
- Nov 6, 2007
- Sex
- Male
- 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 | MA053014 | PA | Primary |
Addresses
Primary practice location
6TH Avenue & Spruce Street
West Reading, PA 19611
Mailing address
PO Box 14623
Reading, PA 19612-4623
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053014 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1720268907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14623",
"city": "READING",
"state": "PA",
"postal_code": "196124623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6TH AVENUE & SPRUCE STREET",
"city": "WEST READING",
"state": "PA",
"postal_code": "19611",
"telephone_number": "610-568-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTENBERGER",
"first_name": "JOHN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.