Wanda Kietlinski (NPI# 1114987542, PAC ID# 1456549427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1114987542 |
| PAC ID by PECOS | 1456549427 |
| Professional Enrollment ID | I20101217000829 |
| Full Name | Wanda Kietlinski |
| Organization Legal Name | WALLINGTON FOOTCARE CENTER, INC |
| Address |
905 Allwood Rd Suite 206 Clifton NJ 07012-1946 |
| Phone Number | 9734588090 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1254571094 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310019 | ST JOSEPH'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 905 Allwood Rd, Suite 206, Clifton, NJ 07012-1946 | 9734588090 | WALLINGTON FOOTCARE CENTER, INC |
| 905 Allwood Rd, Clifton, NJ 07012-1946 | 9734588090 | WALLINGTON FOOTCARE CENTER, INC |
| Organization Legal Name | WALLINGTON FOOTCARE CENTER, INC |
| Physicians | 1 |
| Street Address |
905 ALLWOOD RD SUITE 206 |
| City | CLIFTON |
| State | NJ |
| Zip | 07012-1946 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meenoo Agarwal | Anesthesiology | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1946 | |
| Atul Prakash | Cardiac Electrophysiology | Cardiac Arrhythmia Specialist PC | 905 Allwood Rd, Suite 103, Clifton, NJ 07012-1946 |
| Anil Agarwal | Gastroenterology | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1946 | |
| Ratnam Jain | Obstetrics/gynecology | Special Care Ob/gyn Associates Inc | 905 Allwood Rd, Suite 103, Clifton, NJ 07012-1946 |
| Mendel I Markowitz | Maxillofacial Surgery | 905 Allwood Rd, Suite 202, Clifton, NJ 07012-1946 | |
| Sanjiv R Parikh | Interventional Pain Management | 905 Allwood Rd, Suite 200, Clifton, NJ 07012-1946 | |
| Durgesh Mankikar | Anesthesiology | Algology Anesthesia Associates LLC | 905 Allwood Rd, Suite 200, Clifton, NJ 07012-1946 |
| Joseph Baratta | General Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | |
| Rahul Kumar | Cardiac Electrophysiology | Cardiac Arrhythmia Specialist PC | 905 Allwood Rd, Suite 103, Clifton, NJ 07012-1946 |
| Stanley J Knep | Neurology | Neurology Group of North Jersey Pa | 905 Allwood Rd, Clifton, NJ 07012-1946 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonid Shapiro | Anesthesiology | Pmr Medical PC | 790 Bloomfield Ave, Suite A1, Clifton, NJ 07012-1124 |
| Linda M Tanks | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Garrett B Coan | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Elise S Nerenberg | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Denise M White | Psychologist, Clinical | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Shani Stein | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Lois M Deritter | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Carol A Albanese | Clinical Social Worker | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Louise Gabriele | Nurse Practitioner | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Raymond Chong | Psychiatry | Serv Centers of New Jersey, Inc | 777 Bloomfield Ave, Clifton, NJ 07012-1242 |
| Find all physicians in zip 07012 | |||
| City | CLIFTON |
| Zip Code | 07012 |
| Specialty | PODIATRY |
| City + Specialty | CLIFTON + PODIATRY |
Please comment or provide details below to improve the information on Wanda Kietlinski.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.