Myrna Carol Wiley, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

PROV ID: 16121 Issued in NY

Practice address

4302 New Utrecht Ave.
Independent S.I. Contractor With Hear Our Voices
Brooklyn, NY 11219

Phone

(718) 686-9600

Fax

(718) 686-6161

NPI assigned

Jun 18, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1013270859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SW 163RD PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344737215",
            "telephone_number": "352-347-2685",
            "fax_number": "352-347-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 NEW UTRECHT AVE.",
            "address_2": "INDEPENDENT S.I. CONTRACTOR WITH HEAR OUR VOICES",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219",
            "telephone_number": "718-686-9600",
            "fax_number": "718-686-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "MYRNA",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "PROV ID: 16121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel W Wilen, MD
• Jennifer Marie Wilen, CNM
• Rivka Wilenkin, OTR/L
• Wilensky OT, P.C.
• Miriam Wilensky, OTRL
• Shakeema Wiley
• Ursyl Wilfred-Woods, NP
• Manuel Gorwin Wilfred, P.T.
• Armand Eugene Wilhelm
• Bassy Wilhelm

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.