Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dana Wightman, PA-C

Individual provider Medical Physician Assistant · NPI 1053794115

Dana Wightman, PA-C is a Physician Assistant in Pomona, New Jersey. Qualified in 2015, 11 years ago. Practices with Revolution Medicine Health and Fitness PLLC, a 14-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and New Jersey.

Years since qualifying
11
Licensed in
FL, NJ
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone: (609) 441-8146
Fax: (609) 441-8002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1926 10th Ave N Ste 105, Lake Worth, FL 33461-3300 — (615) 345-5400
  • 960 Arthur Godfrey Rd, Miami Beach, FL 33140-3326 — (305) 763-8080

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00475400 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 9108751 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9108751 (FL)

Record details

NPI number1053794115
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2015
Last updated in NPPESSeptember 5, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Revolution Medicine Health And Fitness Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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