Active NPI
Harriet E Wieder, MD
- Developmental - Behavioral Pediatrics Physician
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 162962
- Practice address
- 503 Grasslands Rd Ste 200
Valhalla, NY 10595-1593 - Phone
- (914) 304-5250
- Fax
- (914) 345-1752
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 162962 | NY | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 56400 | CT | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 162962 | NY | Primary |
Addresses
Primary practice location
503 Grasslands Rd Ste 200
Valhalla, NY 10595-1593
Mailing address
22 Saw Mill River Rd.
2ND Floor
Hawthorne, NY 10532-1549
Phone (914) 593-1678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162962 | NY | MD | Pediatrics Physician |
| 56400 | CT | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Pediatrics | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160
111 E 210th St
Bronx, NY 10467
22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
503 Grasslands Rd
Ste 200
Valhalla, NY 10595
Phone (914) 304-5250
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- harriet.wieder.p1@direct.cwpw.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1518014349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAW MILL RIVER RD.",
"address_2": "2ND FLOOR",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321549",
"telephone_number": "914-593-1678",
"fax_number": "914-593-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 GRASSLANDS RD STE 200",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951593",
"telephone_number": "914-304-5250",
"fax_number": "914-345-1752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDER",
"first_name": "HARRIET",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "162962",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CT",
"license": "56400",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NY",
"license": "162962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.