Wien Medical Group LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

WIEN MEDICAL GROUP LLC

Practice address

625 Broadway
Paterson, NJ 07514-1977

Phone

(973) 742-2228

Fax

(201) 265-7078

NPI assigned

Oct 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Frederic E Wien, MD

Title

Owner

Phone

(201) 265-7001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1417145012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141977",
            "telephone_number": "973-742-2228",
            "fax_number": "201-265-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141977",
            "telephone_number": "973-742-2228",
            "fax_number": "201-265-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEN MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "WIEN",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-265-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Gastroenterology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.