Individual provider Active NPI

Wesley James Wiser, M.D.

  • General Practice Physician
  • Rye, NY
National Provider Identifier
1427409564
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
295793 Issued in NY
Practice address
222 Purchase St Ste 269
Rye, NY 10580-2101
Phone
(207) 610-0425
NPI assigned
Jun 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 295793 NY Primary

Addresses

Primary practice location

222 Purchase St Ste 269
Rye, NY 10580-2101

Mailing address

222 Purchase St Ste 269
Rye, NY 10580-2101
Phone (207) 610-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, RI, CT, NH, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20230607001076 NY Practitioner - General Practice 8527425537 Reassigns benefits to 1 organization
I20251201003215 RI Practitioner - General Practice 8527425537 Reassigns benefits to 1 organization
I20260102002630 CT Practitioner - General Practice 8527425537 Reassigns benefits to 1 organization
I20260217002454 NH Practitioner - General Practice 8527425537 Reassigns benefits to 1 organization
I20260609004604 PA Practitioner - General Practice 8527425537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC General Practice CurrentSince Dec 19, 2023 Accepting new patients
Signify Health Medical Associates, PLLC General Practice CurrentSince Nov 5, 2025 Accepting new patients

Locations

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

270 Bellevue Ave
Newport, RI 02840
Phone (203) 843-2264

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1427409564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PURCHASE ST STE 269",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802101",
            "telephone_number": "207-610-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PURCHASE ST STE 269",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802101",
            "telephone_number": "207-610-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISER",
        "first_name": "WESLEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "295793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.