Individual provider Active NPI

Robert S Wiesen, MD

  • Gastroenterology Physician
  • Somerville, NJ
National Provider Identifier
1437103678
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA07943500 Issued in NJ
Practice address
286 E Main St
Somerville, NJ 08876-3006
Phone
(908) 231-1999
Fax
(908) 231-1612
NPI assigned
May 20, 2006
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 25MA07943500 NJ Primary

Addresses

Primary practice location

286 E Main St
Somerville, NJ 08876-3006

Mailing address

25 Port Imperial
West New York, NJ 07093-8302
Phone (201) 601-0772

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060728000210 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 3971516410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

203 Towne Centre Dr
Hillsborough, NJ 08844-4693
Phone (908) 359-1639

25 Monroe St
Bridgewater, NJ 08807-3043
Phone (908) 231-1999

420 Bridge Plaza Dr
Manalapan, NJ 07726-1735
Phone (732) 536-8008

706 Bergen Ave
Suite 2
Jersey City, NJ 07306-4802
Phone (201) 464-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.15 of 100Reported as group
Quality
61.9
Promoting interoperability
97
Improvement activities
40
Cost
67.78

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physicians Associates PA CurrentSince Nov 8, 2022 Accepting new patients
Consensus Medical Group LLC CurrentSince Jan 19, 2020 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

25 Monroe St
Bridgewater, NJ 08807
Phone (908) 231-1999

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

203 Towne Centre Dr
Hillsborough, NJ 08844
Phone (908) 359-1639

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

Interoperability endpoints

  • Direct secure messaging: robert.wiesen.1@18614.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1437103678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PORT IMPERIAL",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070938302",
            "telephone_number": "201-601-0772",
            "fax_number": "908-231-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763006",
            "telephone_number": "908-231-1999",
            "fax_number": "908-231-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESEN",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA07943500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.