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

Willy Widjaya, MD

Individual provider Internal Medicine Physician · NPI 1629451463

Willy Widjaya, MD is an Internal Medicine in Newark, Delaware. Qualified in 2010, 16 years ago. Practices with Christiana Care Health Services Inc, a 1,481-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
16
Licensed in
DE, MD
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4755 Ogletown Stanton Rd Ste 5A43
Newark, DE 19718-2200
Phone: (302) 623-0188
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C1-0012545 (DE)
Internal Medicine Physician Taxonomy 207R00000X · Licence P31998 (MD)

Record details

NPI number1629451463
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022
Mailing address4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Christiana Care Health Services Inc — 1481 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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