Dr. Jonathan T Wiseman, DO
Family Medicine in Riverside, New Jersey
1063548154- Practice location
- 129 Bridgeboro St, Riverside, NJ 08075-3201
- Phone
- 856-461-0766
- Fax
- 856-461-7095
- Last updated
- March 2, 2015
Jonathan T Wiseman is a Family Medicine based in Riverside, NJ. Jonathan T Wiseman practices in Riverside, NJ and has the professional credentials of DO. The NPI Number for Jonathan T Wiseman is 1063548154 and holds a License No. 25MB07242800 (NJ). The current practice location address for Jonathan T Wiseman is 129 Bridgeboro St, Riverside, NJ 08075-3201 and can be reached out via phone at 856-461-0766 and via fax at 856-461-7095.
Provider Profile Details
- NPI Number
- 1063548154
- Provider Name
- Jonathan T Wiseman
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 129 Bridgeboro St, Riverside, NJ 08075-3201
- Phone Number
- 856-461-0766
- Fax Number
- 856-461-7095
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 26, 2007
- Last Update Date
- March 2, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 129 Bridgeboro St
Riverside, NJ 08075-3201 - City
- Riverside
- State
- New Jersey
- Zip
- 08075-3201
- Phone Number
- 856-461-0766
- Fax Number
- 856-461-7095
Provider Business Mailing Address Details
- Address
- 129 Bridgeboro St
Riverside, NJ 08075-3201 - City
- Riverside
- State
- NJ
- Zip
- 08075-3201
- Phone Number
- 856-461-0766
- Fax Number
- 856-461-7095
License Information
- License Number
- 25MB07242800
- License State
- NJ
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jonathan T Wiseman, DO?
The NPI number of Dr. Jonathan T Wiseman, DO is 1063548154. It was assigned on February 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jonathan T Wiseman, DO?
Dr. Jonathan T Wiseman, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB07242800.
Where does Dr. Jonathan T Wiseman, DO practice?
The practice location is 129 Bridgeboro St, Riverside, NJ 08075-3201. The office can be reached at 856-461-0766 (phone) or 856-461-7095 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063548154 directly on the NPPES registry website.