Active NPI
Miriam Yael Wielgus
- Social Worker
- Marlton, NJ
National Provider Identifier
1366212649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06516600
- Practice address
- 5 Greentree Ctr
Marlton, NJ 08053-3422 - Phone
- (973) 692-8324
- NPI assigned
- Jan 8, 2024
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06516600 | NJ | Primary |
Addresses
Primary practice location
5 Greentree Ctr
Marlton, NJ 08053-3422
Mailing address
111 Greenbriar St
Bergenfield, NJ 07621-4226
Phone (973) 294-8816
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06516600 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1366212649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 GREENBRIAR ST",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076214226",
"telephone_number": "973-294-8816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 GREENTREE CTR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533422",
"telephone_number": "973-692-8324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIELGUS",
"first_name": "MIRIAM",
"middle_name": "YAEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06516600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.