1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Radiology
  6. NPI Profile

DR. JACK WITTENBERG MD
NPI 1245221894
Radiology - Diagnostic Radiology in Boston, MA

Active since November 02, 2005
55 FRUIT ST, FND 2, BOSTON, MA 02114(617) 726-8396(617) 726-4891 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Wittenberg Md NPPES

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

DR. JACK WITTENBERG MD (NPI 1245221894) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (28711) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1245221894
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JACK WITTENBERGCredential: MD
Location Address55 FRUIT ST, FND 2Boston, MA 02114-2621
Mailing AddressPo Box 9142Charlestown, MA 02129-9142 · (617) 726-8380 · Fax (617) 726-4891
Phone(617) 726-8396
Fax(617) 726-4891
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateAugust 30, 2012
✔ NPI 1245221894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 28711
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINA65829
Other725096MA · Tufts Health Plan
OtherM07089MA · Bcbs Ma
Medicare ID-Type UnspecifiedM07089MA
Medicaid0194255MA

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Jack Wittenberg's NPI number?

The NPI number for Jack Wittenberg is 1245221894. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Jack Wittenberg located?

Jack Wittenberg practices at 55 Fruit St Fnd 2, Boston, MA 02114. The listed phone number is (617) 726-8396.

What is Jack Wittenberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Jack Wittenberg was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.