William M. Wixted M.D., P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA02912900 Issued in NJ

Legal business name

WILLIAM M. WIXTED M.D., P.C.

Practice address

731 Bay Ave
Somers Point, NJ 08244-2342

Phone

(609) 653-0199

Fax

(609) 653-9411

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William M. Wixted, MDNPI 1336188572

Title

Director

Phone

(609) 653-0199

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William M Wixted, M.D.

  • Urology Physician
  • Somers Point, NJ
  • NPI 1336188572
  Authorized official Same address or phone

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871632315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 BAY AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442342",
            "telephone_number": "609-653-0199",
            "fax_number": "609-653-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 BAY AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442342",
            "telephone_number": "609-653-0199",
            "fax_number": "609-653-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. WIXTED M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIXTED",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-653-0199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA02912900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONEL NPI#",
            "identifier": "1336188572",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MA02912900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellness Centers of South Jersey LLC (FYZICAL Therapy & Balance Centers)
• Ira S Wertheimer, D.O.
• Anne Wildermuth, PA-C
• Benjamin Wilkins, BCBA
• William J Morrow DO PA
• Willow Medical (Shore Medical)
• William M Wixted, M.D.
• Donald Wong, RPH CIP
• Karen Wyatt, PTA
• Justin Peter Yandoli, DPT

• Urology Physician in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.