Individual provider Active NPI

Alex Wieselman, M.A., ED.S

  • Marriage & Family Therapist
  • Far Hills, NJ
National Provider Identifier
1447580170
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37F100150500 Issued in NJ
Practice address
43 US Highway 202
Far Hills, NJ 07931-0595
Phone
(908) 781-7900
Fax
(862) 244-4419
NPI assigned
Dec 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37F100150500 NJ Primary

Addresses

Primary practice location

43 US Highway 202
Far Hills, NJ 07931-0595

Mailing address

PO Box 595
43 US Highway 202 Far Hills Professional Building
Far Hills, NJ 07931-0595
Phone (908) 781-7900

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37F100150500NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1447580170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "address_2": "43 US HIGHWAY 202 FAR HILLS PROFESSIONAL BUILDING",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079310595",
            "telephone_number": "908-781-7900",
            "fax_number": "862-244-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 US HIGHWAY 202",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079310595",
            "telephone_number": "908-781-7900",
            "fax_number": "862-244-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESELMAN",
        "first_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "M.A., ED.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100150500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Hills, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.