Active NPI
Andrea Wieder
- Psychiatric/Mental Health Nurse Practitioner
- Hazlet, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00739000
- Practice address
- 41 Village CT
Hazlet, NJ 07730-1535 - Phone
- (908) 297-8849
- NPI assigned
- Dec 14, 2016
- Last updated
- Jul 29, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 277003768 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN282557 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00739000 | NJ | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | RN1016374 | DC |
Addresses
Primary practice location
41 Village CT
Hazlet, NJ 07730-1535
Mailing address
41 Village CT
Hazlet, NJ 07730-1535
Phone (908) 297-8849
Other practice location 1
300 Baker Ave Ste 300
Concord, MA 01742-2124
Phone (864) 336-2731
Other practice location 2
959 S Waukegan Rd Fl 2
Lake Forest, IL 60045-2654
Phone (864) 336-2731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
41 Village CT
Hazlet, NJ 07730-1535
Phone (908) 297-8849
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277003768 | IL | MD | Family Nurse Practitioner |
| RN282557 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 26NJ00739000 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
| RN1016374 | DC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| MVP Medical Associates, PA | Current | Accepting new patients | |
| MVP Medical Associates, PA | Current | Accepting new patients | |
| Familywell PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Ocean Mental Health Services Inc | Current | Accepting new patients | |
| A Peaceful Mind Mental Health Services | Current | Accepting new patients | |
| MVP Medical Associates II LLC | Current | Accepting new patients | |
| Atlanticare Physician Group | Current | Accepting new patients | |
| MVP Medical Associates, PA | Current | Accepting new patients | |
| Familywell PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
959 S Waukegan Rd
#2
Lake Forest, IL 60045
Phone (847) 234-3250
300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731
160 US Highway 9
Bayville, NJ 08721
Phone (732) 349-1977
200 Wyckoff Rd
Ste 1500
Eatontown, NJ 07724
Phone (732) 380-5456
2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400
41 Village Ct
Hazlet, NJ 07730
Phone (908) 297-8849
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
1803 State Route 35
Oakhurst, NJ 07755
Phone (732) 695-3668
1980 US Highway 9
Ste 100
Old Bridge, NJ 08857
Phone (732) 965-6000
1851 Hooper Ave
Ste B
Toms River, NJ 08753
Phone (732) 255-2001
1851 Hooper Ave
Ste B1
Toms River, NJ 08753
Phone (732) 255-2001
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Hazlet, NJ
- NPI 1538755566
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
- Urgent Care Clinic/Center
- Oakhurst, NJ
- NPI 1750164653
-
dba Family First Urgent Care
- Urgent Care Clinic/Center
- Oakhurst, NJ
- NPI 1235339847
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bayville, NJ
- NPI 1508884347
-
dba AtlantiCare Urgent Care
- Clinical Social Worker
- Egg Harbor Township, NJ
- NPI 1881618494
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
dba Family First Urgent Care
- Urgent Care Clinic/Center
- Toms River, NJ
- NPI 1235583204
-
dba Family First Urgent Care
- Urgent Care Clinic/Center
- Eatontown, NJ
- NPI 1992463384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1235673096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 VILLAGE CT",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301535",
"telephone_number": "908-297-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 VILLAGE CT",
"city": "HAZLET",
"state": "NJ",
"postal_code": "077301535",
"telephone_number": "908-297-8849"
}
],
"practiceLocations": [
{
"address_1": "300 Baker Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "MA",
"postal_code": "017422124",
"country_code": "US",
"telephone_number": "864-336-2731",
"fax_number": "833-740-3387",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "959 S Waukegan Rd Fl 2",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600452654",
"country_code": "US",
"telephone_number": "864-336-2731",
"fax_number": "833-740-3387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIEDER",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-14",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277003768",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MA",
"license": "RN282557",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NJ",
"license": "26NJ00739000",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "DC",
"license": "RN1016374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hazlet, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.