Michael Joseph Wiechowski, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

152594 Issued in NY

Practice address

2 W 86TH St
Suite # 6
New York, NY 10024-3666

Phone

(212) 769-4149

NPI assigned

Aug 2, 2006

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

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

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.

• Queens Medical Pavilion,LLC

  • Multi-Specialty Clinic/Center
  • Forest Hills, NY
  • NPI 1124384136
  Medicare reassignment

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1346257151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 86TH ST",
            "address_2": "SUITE # 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243666",
            "telephone_number": "212-769-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 86TH ST",
            "address_2": "SUITE # 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243666",
            "telephone_number": "212-769-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECHOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "152594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Arlynne Widmer, M.D.
• John Widmer
• Alex K Wie
• Ewelina Wiecek, LMSW
• Lisa Silvia Wiechmann, M.D.
• Stanley Wieckowski
• Lia Wiedemann
• Thomas Georg Wiedemann, MD, DDS
• Baruch Michael Wieder, M.D.
• Genielle Wieder, OTR/L

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.