Joy Davida Wisniewski, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A137064 Issued in CA

Practice address

781 Garden View CT
Suite 201
Encinitas, CA 92024-2481

Phone

(760) 634-3376

Fax

(760) 634-7955

NPI assigned

Apr 13, 2011

Last updated

Mar 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Tulane University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Dermatology GroupGroup PAC ID 9032281696, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.17 of 100Reported as individual

Quality

98.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Dermatology Group

  • Dermatology Physician
  • Encinitas, CA
  • NPI 1396923413
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1730479619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 GARDEN VIEW CT",
            "address_2": "SUITE 201",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242481",
            "telephone_number": "760-634-3376",
            "fax_number": "760-634-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 GARDEN VIEW CT",
            "address_2": "SUITE 201",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242481",
            "telephone_number": "760-634-3376",
            "fax_number": "760-634-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNIEWSKI",
        "first_name": "JOY",
        "middle_name": "DAVIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A137064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Anne Wilson, MALMFT
• Mike Wilson, ORTHOPEDIC TECH
• Dori Sue Winchell, PHD
• Kathleen Ann Winfrey, PMHNP-BC
• Bradley Theodor Winkel, PA
• David A. Witkowski, PHD
• Teena Kathleen Woeber, DC
• Brian Russell Wofford, DC
• Joanne Wolf, PH.D.
• Jennifer Wolfe, TECHNICIAN

• Specialist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.