Active NPIIndividual provider

Dr. Michael I Wiener, DO

Family Medicine in Ridgewood, New Jersey

NPI Number1922091370
Practice location
1124 E Ridgewood Ave Ste 201, Ridgewood, NJ 07450-3943
Fax
—
Last updated
December 3, 2024

Michael I Wiener is a Family Medicine based in Ridgewood, NJ. Michael I Wiener practices in Ridgewood, NJ and has the professional credentials of DO. The NPI Number for Michael I Wiener is 1922091370 and holds a License No. AW8163812 (NJ). The current practice location address for Michael I Wiener is 1124 E Ridgewood Ave Ste 201, Ridgewood, NJ 07450-3943 and can be reached out via phone at 201-881-7282.

Provider Profile Details

NPI Number
1922091370
Provider Name
Michael I Wiener
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1124 E Ridgewood Ave Ste 201, Ridgewood, NJ 07450-3943
Phone Number
201-881-7282
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2005
Last Update Date
December 3, 2024
Certification Date
December 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1124 E Ridgewood Ave Ste 201
Ridgewood, NJ 07450-3943
Zip
07450-3943
Phone Number
201-881-7282
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
514 Lydia Ln
Wyckoff, NJ 07481-1711
City
Wyckoff
State
NJ
Zip
07481-1711
Phone Number
201-891-7793
Fax Number
201-368-9618

License Information

License Number (1)
AW8163812
License State (1)
NJ
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
25MB03506400
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Michael I Wiener, DO?

The NPI number of Dr. Michael I Wiener, DO is 1922091370. It was assigned on August 31, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael I Wiener, DO?

Dr. Michael I Wiener, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number AW8163812.

Where does Dr. Michael I Wiener, DO practice?

The practice location is 1124 E Ridgewood Ave Ste 201, Ridgewood, NJ 07450-3943. The office can be reached at 201-881-7282 (phone).

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 1922091370 directly on the NPPES registry website.

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