Active NPI
Karen E. Wiener, M.D.
- Psychiatry Physician
- Rochester, NY
National Provider Identifier
1558330274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 124243
- Practice address
- 2613 West Henrietta Road
Strong Ties
Rochester, NY 14623-2327 - Phone
- (585) 279-4900
- Fax
- (585) 461-9504
- NPI assigned
- Mar 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 124243 | NY | Primary |
Addresses
Primary practice location
2613 West Henrietta Road
Strong Ties
Rochester, NY 14623-2327
Mailing address
2613 West Henrietta Road
Strong Ties
Rochester, NY 14623-2327
Phone (585) 279-4900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124243 | Other | NY | NY STATE MEDICAL LICENSE |
| P010124243 | Other | NY | EXCELLUS BLUE CROSS |
| 00850555 | Medicaid | NY | |
| 105591EU | Other | NY | PREFERRED CARE PROVIDER # |
| P030124243 | Other | NY | EXCELLUS BLUE CHOICE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1558330274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2613 WEST HENRIETTA ROAD",
"address_2": "STRONG TIES",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232327",
"telephone_number": "585-279-4900",
"fax_number": "585-461-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2613 WEST HENRIETTA ROAD",
"address_2": "STRONG TIES",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232327",
"telephone_number": "585-279-4900",
"fax_number": "585-461-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENER",
"first_name": "KAREN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "124243",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE MEDICAL LICENSE",
"identifier": "124243",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE CROSS",
"identifier": "P010124243",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00850555",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE PROVIDER #",
"identifier": "105591EU",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS BLUE CHOICE",
"identifier": "P030124243",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.