JEFFREY WISHIK MD
NPI 1376718718
Psychiatry & Neurology - Neurology in Providence, RI

Active since April 28, 2008CLIA 41D2045963 · Waiver
1 RANDALL SQ, SUITE 409, PROVIDENCE, RI 02904(401) 274-5150 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeffrey Wishik Md NPPES

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

JEFFREY WISHIK MD (NPI 1376718718) is a healthcare organization registered as a neurology in Providence, Rhode Island and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 22, 2026 and lists Jeffrey M Wishik, Owner, as its authorized official.

NPPES Registry Identity

NPI1376718718
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameJEFFREY WISHIK MD
Location Address1 RANDALL SQ, SUITE 409Providence, RI 02904-2709
Mailing Address1 Randall Sq, Suite 409Providence, RI 02904-2709 · (401) 274-5150
Organization SubpartNo
Authorized OfficialJeffrey M WishikOwner · (401) 274-5150
Enumeration DateApril 28, 2008
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
NPI 1376718718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in RI · MD07160
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1 RANDALL SQ, Providence, RI 02904

Other Identifiers 2

Other26335RI · Ri Bcbs
Other200984RI · Bluechip

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2045963

Jeffrey Wishik MD, Jd · Providence, RI
Active · expires Aug 22, 2026
CLIA Number41D2045963
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorJeffrey Wishik MD Jd
Laboratory Phone(401) 274-5150
Laboratory LocationJeffrey Wishik MD, Jd1 Randall Square Suite 409, Providence, RI 02904
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Adult Health)
1 RANDALL SQ
PROVIDENCE, RI 02904
Nurse Practitioner (Family)
1 RANDALL SQ
PROVIDENCE, RI 02904
Allergy & Immunology
1 RANDALL SQ
PROVIDENCE, RI 02904
Specialist
1 RANDALL SQ
PROVIDENCE, RI 02904
Clinic/Center (Federally Qualified Health Center (FQHC))
1 RANDALL SQ
PROVIDENCE, RI 02904
Pediatrics
1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Nurse Practitioner (Family)
1 RANDALL SQ
PROVIDENCE, RI 02904

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 Jeffrey Wishik MD's NPI number?

The NPI number for Jeffrey Wishik MD is 1376718718. It was assigned to this organization in the NPPES registry on April 28, 2008.

Where is Jeffrey Wishik MD located?

Jeffrey Wishik MD is located at 1 Randall Sq Suite 409, Providence, RI 02904. The listed phone number is (401) 274-5150.

What is Jeffrey Wishik MD's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does Jeffrey Wishik MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2045963) is associated with this NPI, valid through August 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeffrey Wishik MD was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.