Michael Wiederkehr, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MA069839 Issued in NJ

Practice address

1 W Ridgewood Ave
Suite 103
Paramus, NJ 07652-2359

Phone

(201) 857-4200

Fax

(201) 857-4199

NPI assigned

Jul 28, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Dermatology

Education

Johns Hopkins University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Dermatology and Skin Surgery LLCGroup PAC ID 5496897175, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.76 of 100Reported as group

Quality

98.38

Promoting interoperability

100

Improvement activities

40

Cost

70.83

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Center for Dermatology and Skin Surgery LLC

  • Dermatology Physician
  • Paramus, NJ
  • NPI 1194051243
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Dermatology of New Jersey PC

  • Procedural Dermatology Physician
  • Ridgewood, NJ
  • NPI 1225362783
  NPD (past)
• Paige Applebaum Farkas MD PA

  • Dermatology Physician
  • Ridgewood, NJ
  • NPI 1760547707
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1396759783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE STE 103",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522361",
            "telephone_number": "201-857-4200",
            "fax_number": "201-857-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE 103",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-857-4200",
            "fax_number": "201-857-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Brook Ave Ste B108",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070553357",
            "country_code": "US",
            "telephone_number": "201-857-4200",
            "fax_number": "201-857-4199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 River St Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070305619",
            "country_code": "US",
            "telephone_number": "201-857-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEDERKEHR",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA069839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "D081378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skylar Werner
• Elizabeth Westergreen, MSPT
• Westside Podiatric Associates LLC
• Christie White, LSW
• Evadne White
• Craig Bennett Wiener, MD, FACOG
• Gail Wilkins, LSW
• Alexandra Williams, LSW
• Carin Fiebiger Williams, RN ACUPUNCTURIST
• Steven A Winer, M.D.

• Dermatology Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.