Active NPIIndividual provider

Dr. Watutantrige T Dealwis, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Ridgewood, New Jersey

NPI Number1396798120
Practice location
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Fax
201-447-8491
Last updated
November 15, 2011

Watutantrige Takshan Dealwis is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Ridgewood, NJ. Watutantrige Takshan Dealwis practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Watutantrige Takshan Dealwis is 1396798120 and holds a License No. 25MA04286900 (NJ). The current practice location address for Watutantrige Takshan Dealwis is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 and can be reached out via phone at 201-447-8586 and via fax at 201-447-8491.

Provider Profile Details

NPI Number
1396798120
Provider Name
Watutantrige Takshan Dealwis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
223 N Van Dien Ave, Ridgewood, NJ 07450-2726
Phone Number
201-447-8586
Fax Number
201-447-8491
Sole Proprietor
No
Provider Enumeration Date
May 19, 2006
Last Update Date
November 15, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Zip
07450-2726
Phone Number
201-447-8586
Fax Number
201-447-8491
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
71 Berkely Place
Alpine, NJ 07620
City
Alpine
State
NJ
Zip
07620
Phone Number
201-750-1907

License Information

License Number
25MA04286900
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Watutantrige T Dealwis, MD?

The NPI number of Dr. Watutantrige T Dealwis, MD is 1396798120. It was assigned on May 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Watutantrige T Dealwis, MD?

Dr. Watutantrige T Dealwis, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in NJ under license number 25MA04286900.

Where does Dr. Watutantrige T Dealwis, MD practice?

The practice location is 223 N Van Dien Ave, Ridgewood, NJ 07450-2726. The office can be reached at 201-447-8586 (phone) or 201-447-8491 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396798120 directly on the NPPES registry website.

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