Active NPI
Paul Neil Wiener, P.T.
- Physical Therapist
- Hackensack, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QA4003741
- Practice address
- 170 Prospect Ave Ste 2
Hackensack, NJ 07601-1834 - Phone
- (201) 880-8303
- Fax
- (201) 880-4893
- NPI assigned
- Oct 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 018834-1 | NY | |
| Physical Therapist | 225100000X | QA4003741 | NJ | Primary |
Addresses
Primary practice location
170 Prospect Ave Ste 2
Hackensack, NJ 07601-1834
Mailing address
170 Prospect Ave
Apt 5L
Hackensack, NJ 07601-1858
Phone (201) 956-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Prospect Ave
Suite 2
Hackensack, NJ 07601-1834
2 University PLZ
Unit 114
Hackensack, NJ 07601-6202
Phone (201) 488-0488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QA4003741 | NJ | MD | Physical Therapist |
| 018834-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Wienerphysicaltherapyservices | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
| James W Cahill MD LLC | Current | Accepting new patients | |
| Orthopedic Specialist of New Jersey PA | Current | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
2 University Plz
Unit 114
Hackensack, NJ 07601
Phone (201) 488-0488
170 Prospect Ave
Ste 2
Hackensack, NJ 07601
Phone (201) 880-8303
87 Summit Ave
Hackensack, NJ 07601
Phone (201) 489-0022
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
Organizations & group practices 7
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.
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Therapist
- Hawthorne, NJ
- NPI 1275060774
-
- Physical Therapist
- Hackensack, NJ
- NPI 1760556476
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Orthopaedic Surgery Physician
- Hackensack, NJ
- NPI 1649656497
-
- Orthopaedic Surgery Physician
- Hackensack, NJ
- NPI 1326229840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1689750069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 PROSPECT AVE",
"address_2": "APT 5L",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011858",
"telephone_number": "201-956-4188",
"fax_number": "201-956-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 PROSPECT AVE STE 2",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011834",
"telephone_number": "201-880-8303",
"fax_number": "201-880-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENER",
"first_name": "PAUL",
"middle_name": "NEIL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "018834-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QA4003741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.