Active NPI
James Wittig, M.D.
- Orthopaedic Surgery Physician
- New York, NY
National Provider Identifier
1780670190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 25MA06534000
- Practice address
- 5 E 98TH St
Box 1188 - 9TH Floor
New York, NY 10029 - Phone
- (212) 241-1807
- NPI assigned
- Sep 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 201752 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 25MA06534000 | NJ | Primary |
Addresses
Primary practice location
5 E 98TH St
Box 1188 - 9TH Floor
New York, NY 10029
Mailing address
PO Box 412239
Boston, MA 02241-2239
Phone (833) 292-2663
Other practice location 1
5 E 98th St
Box 1188 - 9TH Floor
New York, NY 10029-6501
Phone (212) 241-1807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02168716 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06534000 | NJ | MD | Orthopaedic Surgery Physician |
| 201752 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Specialty Care Associates, PC | Orthopaedic Surgery | Current | Accepting new patients |
| Humc Medical Observation | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
20 Prospect Ave
Ste 400
Hackensack, NJ 07601
Phone (201) 996-5900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neonatal-Perinatal Medicine Physician
- Hackensack, NJ
- NPI 1528011194
Orthopaedic Surgery
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hackensack, NJ
- NPI 1730406414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1780670190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412239",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412239",
"telephone_number": "833-292-2663",
"fax_number": "973-898-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E 98TH ST",
"address_2": "BOX 1188 - 9TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10029",
"telephone_number": "212-241-1807"
}
],
"practiceLocations": [
{
"address_1": "5 E 98th St",
"address_2": "BOX 1188 - 9TH FLOOR",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100296501",
"country_code": "US",
"telephone_number": "212-241-1807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITTIG",
"first_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "201752",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA06534000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02168716",
"state": "NY"
}
],
"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 Aug 20, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.