Active NPI
Ashley Morgan Wiedow
- Behavior Analyst
- Flanders, NJ
National Provider Identifier
1134838493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-62291
- Practice address
- 4 Gold Mine Rd
Flanders, NJ 07836 - Phone
- (908) 377-0282
- NPI assigned
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-22-62291 | NJ | Primary |
Addresses
Primary practice location
4 Gold Mine Rd
Flanders, NJ 07836
Mailing address
170 W Washington Ave Apt B
Washington, NJ 07882-2124
Phone (862) 324-3957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1134838493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 W WASHINGTON AVE APT B",
"city": "WASHINGTON",
"state": "NJ",
"postal_code": "078822124",
"telephone_number": "862-324-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 GOLD MINE RD",
"city": "FLANDERS",
"state": "NJ",
"postal_code": "07836",
"telephone_number": "908-377-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDOW",
"first_name": "ASHLEY",
"middle_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-22-62291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flanders, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.