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KEVIN WIJEWARDENA
NPI 1053046847
Physician Assistant in Longmeadow, MA

Active since July 18, 2022
588 LONGMEADOW ST, LONGMEADOW, MA 01106(413) 565-1000 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2024, Jul 18, 2022 (2 updates tracked since 2022).

About Kevin Wijewardena NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN WIJEWARDENA (NPI 1053046847) is an individual physician assistant in Longmeadow, Massachusetts, licensed in Georgia (12745) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1053046847
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN WIJEWARDENA
Location Address588 LONGMEADOW STLongmeadow, MA 01106-2212
Mailing Address588 Longmeadow StLongmeadow, MA 01106-2212 · (413) 565-1000
Phone(413) 565-1000
Sole ProprietorNo
Enumeration DateJuly 18, 2022
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1053046847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 12745
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
588 LONGMEADOW ST, Longmeadow, MA 01106
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MAIA LAINE BONI
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
EUNNINDY DELLS SANON
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (603) 556-2151
CLARA BANG
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (800) 782-7284
NADYA FITSUM
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
KRUTI PATEL
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
TANNER JAMES BLANK
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1317
SHEIDA KARAMNEJAD
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 565-1000
ALLISON NAYOUNG LEE
Student in an Organized Health Care Education/Training Program
588 LONGMEADOW ST
LONGMEADOW, MA 01106
Hampden County (413) 693-4242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Wijewardena's NPI number?

The NPI number for Kevin Wijewardena is 1053046847. It was assigned to this individual provider in the NPPES registry on July 18, 2022.

Where is Kevin Wijewardena located?

Kevin Wijewardena practices at 588 Longmeadow St, Longmeadow, MA 01106. The listed phone number is (413) 565-1000.

What is Kevin Wijewardena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kevin Wijewardena was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.