DR. JOHN R WITTPENN


Address: 4 Technology Dr, Suite 150, East Setauket, NY 11733-4080
Phone: 6319411400

DR. JOHN R WITTPENN (NPI# 1154326122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154326122
Entity Type Individual
Full Name DR. JOHN R WITTPENN
Credential M.D.
Practice Address 4 Technology Dr
Suite 150
East Setauket
NY 11733-4080
Mailing Address 825 E Gate Blvd Ste 111
Garden City
NY 11530-2136
Practice Telephone 6319411400
Practice Fax Number 6319411476
Mailing Telephone 5168045200
Mailing Fax Number 5162406540
Enumeration Date 2005-06-16
Last Update Date 2019-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 174403 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01086933 05

Office Location

Street Address 4 TECHNOLOGY DR
SUITE 150
City EAST SETAUKET
State NY
Zip Code 11733-4080

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114921558 Jack Oats Ophthalmology 4 Technology Dr, Suite 150, East Setauket, NY 11733-4080 2005-06-13
1346774122 Setauket Medical, PC Internal Medicine 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 2017-04-18
1104287432 Setauket Surgery, PC Surgery 4 Technology Dr, Suite 220, East Setauket, NY 11733-4080 2016-03-15
1902279029 Lisa Ambrose Nurse Practitioner 4 Technology Dr, Suite 120, East Setauket, NY 11733-4080 2015-11-11
1376940742 Blue Harbor Medical PC Surgery 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 2014-12-01
1437565520 Jaclyn N Mascia Dietitian, Registered 4 Technology Dr, Suite 250, East Setauket, NY 11733-4080 2014-07-09
1184030918 Karim A Paracha Physician PC Surgery 4 Technology Dr, Suite 240, East Setauket, NY 11733-4080 2014-07-01
1255741153 Harbor View Medical Services, P.C. Surgery 4 Technology Dr, Suite 120, East Setauket, NY 11733-4080 2014-04-30
1437582103 Shelly Beth Waldman Pediatrics 4 Technology Dr, East Setauket, NY 11733-4080 2013-08-16
1598101180 Vicki Kumari Masson Pediatrics 4 Technology Dr, East Setauket, NY 11733-4080 2013-05-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063033991 Olivia Carlino Registered Nurse 28 Buckingham Meadow Road, Setauket, NY 11733 2020-05-01
1295392553 Johnny Slade Emergency Medicine 11 Bridge Rd, East Setauket, NY 11733 2019-05-22
1275060345 Donna M Sweeney Specialist 14 Research Way East, East Setauket, NY 11733 2017-05-18
1659806388 Erin Kunz Podiatrist Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 2017-05-01
1285180521 Allison M Pinard Specialist/Technologist 149 Old Field Road, Setauket, NY 11733 2016-08-28
1578915096 Kristyn Matovich Behavioral Analyst 5 Kenwood Street, East Setauket, NY 11733 2016-07-08
1306258900 Patricia M. Ferrara Licensed Practical Nurse 181 N Bellemeade Rd, Setauket, NY 11733 2014-05-30
1871922898 Island Concierge Medical Services Pllc Internal Medicine 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 2013-11-12
1669718219 Sheila Marie Vergith Physician Assistant 17 Coraway Road, Setauket, NY 11733 2012-12-28
1285980474 Jennifer L Monastero Physical Therapist 12 Technology Dr., Unit 2, E. Setauket, NY 11733 2012-07-25
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790860633 Tehmina Haque Ophthalmology 33 Research Way, Suite 13, East Setauket, NY 11733 2006-10-26
1811939101 Fadi El-baba Ophthalmology 4 Technology Dr Ste 150, East Setauket, NY 11733-4085 2006-06-12
1114921558 Jack Oats Ophthalmology 4 Technology Dr, Suite 150, East Setauket, NY 11733-4080 2005-06-13
1548550254 Sarah Brown Weissbart Ophthalmology 33 Research Way, East Setauket, NY 11733-5109 2011-04-14
1306088521 Khurram Mahmood Chaudhary Ophthalmology 33 Research Way, East Setauket, NY 11733-3489 2009-04-02
1194900365 Alexander Llinas Ophthalmology 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 2008-01-07
1164625133 Azin Abazari Ophthalmology 33 Research Way, 13, East Setauket, NY 11733-3489 2007-06-07
1104036326 Nariman Boyle Ophthalmology 33 Research Way, Suite 13, East Setauket, NY 11733-3489 2007-05-23
1396868527 Vincent P Basilice Ophthalmology 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 2007-04-10
1306931373 Debra A Messina Ophthalmology 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327 2006-10-04
Find all providers in EAST SETAUKET

Competitor

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City EAST SETAUKET
Zip Code 11733

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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