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DANA WIGHTMAN PA-C
NPI 1053794115
Physician Assistant - Surgical in Pomona, NJ

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
65 W JIMMIE LEEDS RD, POMONA, NJ 08240(609) 441-8146(609) 441-8002 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2018, Mar 17, 2018, Nov 27, 2017 (3 updates tracked since 2017).

About Dana Wightman Pa-c NPPES

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

DANA WIGHTMAN PA-C (NPI 1053794115) is an individual surgical provider in Pomona, New Jersey, licensed in New Jersey (25MP00475400) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053794115
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDANA WIGHTMANCredential: PA-C
Location Address65 W JIMMIE LEEDS RDPomona, NJ 08240
Mailing Address65 W Jimmie Leeds RdPomona, NJ 08240-9102 · (609) 441-8146 · Fax (609) 441-8002
Phone(609) 441-8146
Fax(609) 441-8002
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 7, 2015
Last NPPES UpdateSeptember 5, 20183 updates tracked since enumeration
✔ NPI 1053794115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in NJ · 25MP00475400✔ Licensed in FL · PA9108751
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA 9108751 (FL)
65 W JIMMIE LEEDS RD, Pomona, NJ 08240
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1960 Arthur Godfrey Rd, Suite 312Miami Beach, FL 33140-3326 · Phone (305) 763-8080 · Fax (305) 763-8064
Location 21926 10th Ave N Ste 105Lake Worth, FL 33461-3300 · Phone (615) 345-5400 · Fax (888) 468-6511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dana Wightman Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698077865
PECOS Enrollment IDI20220729000149, I20220729000611
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
87 services17 patients

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.

COURTNEY PAIGE REED
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 335-8012
KLISA D. HARGROVE-LOPER CRNA
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-3444
JILLIAN ULLO
Nurse Practitioner (Family)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 748-7089
ASHLEIGH BRY
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
PHILLIP CAMPANELLA
Nurse Practitioner (Adult Health)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
ATLANTICARE REGIONAL MEDICAL CENTER
General Acute Care Hospital
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 652-1000
SUSAN SCHRENK CRNA
Nurse Anesthetist, Certified Registered
65 W JIMMIE LEEDS RD, ANESTHESIA DEPARTMENT
POMONA, NJ 08240
Atlantic County (609) 748-7597
ATLANTICARE REGIONAL MEDICAL CENTER
Pharmacy (Community/Retail Pharmacy)
65 W JIMMIE LEEDS RD
POMONA, NJ 08240
Atlantic County (609) 404-4833

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 Dana Wightman's NPI number?

The NPI number for Dana Wightman is 1053794115. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Dana Wightman located?

Dana Wightman practices at 65 W Jimmie Leeds Rd, Pomona, NJ 08240. The listed phone number is (609) 441-8146.

What is Dana Wightman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dana Wightman enrolled in Medicare?

Yes. Dana Wightman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dana Wightman was last updated on September 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.