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

NPI Status: Active since April 28, 2008

Contact Information

1 RANDALL SQ
SUITE 409
PROVIDENCE, RI
ZIP 02904
Phone: (401) 274-5150

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  • Organization
  • Psychiatry & Neurology
  • Neurology
  • CLIA Number: 41D2045963
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-22-2026

About JEFFREY WISHIK MD

This page provides the complete NPI Profile along with additional information for Jeffrey Wishik Md, a provider established in Providence, Rhode Island operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1376718718 assigned on April 2008. The practitioner's primary taxonomy code is 2084N0400X with license number MD07160 (RI). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jeffrey M Wishik Md (Owner)

NPI
1376718718
Provider Name
JEFFREY WISHIK MD
Entity Type
Organization
Location Address
1 RANDALL SQ SUITE 409 PROVIDENCE, RI 02904
Location Phone
(401) 274-5150
Mailing Address
1 RANDALL SQ SUITE 409 PROVIDENCE, RI 02904
Mailing Phone
(401) 274-5150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2008
Last Update Date
03-30-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
MD07160
License State
RI
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JEFFREY M WISHIK MD

Authorized Official Title
OWNER
Authorized Official Phone
(401) 274-5150

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
26335OTHER (01)RIRI BCBS
200984OTHER (01)RIBLUECHIP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
41D2045963
Facility Type
Physician Office
Certificate Effective Date
August 23, 2024
Certificate Expiration Date
August 22, 2026
Laboratory Director
JEFFREY WISHIK MD JD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jeffrey Wishik Md to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376718718, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 4 + 1 + 1 + 6 + 7 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1376718718.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904
Ophthalmology
1 RANDALL SQ, SUITE 203
PROVIDENCE, RI 02904
Surgery
1 RANDALL SQ, SUITE 406
PROVIDENCE, RI 02904
Obstetrics & Gynecology
1 RANDALL SQ, SUITE 401
PROVIDENCE, RI 02904
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1 RANDALL SQ, STE 414
PROVIDENCE, RI 02904
Obstetrics & Gynecology
1 RANDALL SQ, SUITE 401
PROVIDENCE, RI 02904
Obstetrics & Gynecology
1 RANDALL SQ
PROVIDENCE, RI 02904
Pediatrics
1 RANDALL SQ, SUITE 404
PROVIDENCE, RI 02904
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Internal Medicine (Cardiovascular Disease)
1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904
Psychiatry & Neurology (Neurology)
1 RANDALL SQ, SUITE 409
PROVIDENCE, RI 02904
Specialist
1 RANDALL SQ, SUITE 402
PROVIDENCE, RI 02904
Pediatrics
1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904
Clinical Medical Laboratory
1 RANDALL SQ, SUITE 307
PROVIDENCE, RI 02904
Registered Nurse (Diabetes Educator)
1 RANDALL SQ
PROVIDENCE, RI 02904
Obstetrics & Gynecology (Gynecology)
1 RANDALL SQ, SUITE 205
PROVIDENCE, RI 02904
Obstetrics & Gynecology
1 RANDALL SQ, SUITE 205
PROVIDENCE, RI 02904
Specialist
1 RANDALL SQ
PROVIDENCE, RI 02904
Physiological Laboratory
1 RANDALL SQ, SUITE 409
PROVIDENCE, RI 02904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376718718, enumerated as an "organization" on April 28, 2008.

The provider is located at 1 RANDALL SQ SUITE 409 PROVIDENCE, RI 02904 and the phone number is (401) 274-5150.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.