Individual provider Active NPI

Asher Wiederkehr, DPM

  • Foot & Ankle Surgery Podiatrist
  • Staten Island, NY
National Provider Identifier
1104350776
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N007093 Issued in NY
Practice address
1855 Richmond Ave
Staten Island, NY 10314-3940
Phone
(718) 556-5550
Fax
(718) 556-7868
NPI assigned
Apr 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N007093 NY Primary

Addresses

Primary practice location

1855 Richmond Ave
Staten Island, NY 10314-3940

Mailing address

3714 Avenue P
Brooklyn, NY 11234-3426

Other practice location 1

3714 Avenue P
Brooklyn, NY 11234-3426
Phone (347) 410-4813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728001726 NY Practitioner - Podiatry 5395080394 Reassigns benefits to 4 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Richard Rouder, DPM, PCGroup PAC ID 6002995115, 2 clinicians
Doctor'S Medical PCGroup PAC ID 7416005103, 15 clinicians
Physicare Multi Services LTDGroup PAC ID 9032212295, 9 clinicians

Practice addresses (Care Compare)

1855 Richmond Ave
Suite 104
Staten Island, NY 10314-3912
Phone (718) 556-5550

2968 Ave X
Brooklyn, NY 11235-1808
Phone (718) 769-4988

3508 Flatlands Ave
Brooklyn, NY 11234-2609
Phone (718) 253-3900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue36
Removal of skin lesions31
Removal of nail tissue1601
Removal or shaving of skin growth770
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007093NYMDRegistered Dietitian
N007093NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Rouder, DPM, PC Foot & Ankle Surgery CurrentSince Jan 1, 2022 Accepting new patients
Physicare Multi Services LTD CurrentSince Sep 1, 2020 Accepting new patients
Dr Jay Bienenfeld DPM PLLC CurrentSince Oct 10, 2023 Accepting new patients
Doctor'S Medical P.C CurrentSince Sep 1, 2020 Accepting new patients
Big City Physical Therapy, PLLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

2968 Avenue X
Brooklyn, NY 11235
Phone (718) 769-4988

3508 Flatlands Ave
Brooklyn, NY 11234
Phone (718) 253-3900

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

1855 Richmond Ave
Staten Island, NY 10314
Phone (347) 745-2828

1855 Richmond Ave
Ste 104
Staten Island, NY 10314
Phone (718) 556-5550

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: asher.wiederkehr.p1@direct.ezramedical.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1104350776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143940",
            "telephone_number": "718-556-5550",
            "fax_number": "718-556-7868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3714 Avenue P",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112343426",
            "country_code": "US",
            "telephone_number": "347-410-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDERKEHR",
        "first_name": "ASHER",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N007093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.