Active NPI
Susan Lee Wiepert, M.D.
- Pediatrics Physician
- Lewiston, NY
National Provider Identifier
1699917674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 256527
- Practice address
- 700 Center St
Lewiston, NY 14092-1706 - Phone
- (716) 205-3282
- NPI assigned
- Apr 6, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 256527 | NY | Primary |
Addresses
Primary practice location
700 Center St
Lewiston, NY 14092-1706
Mailing address
954 Escarpment Dr
Lewiston, NY 14092-2022
Phone (716) 523-7664
Other practice location 1
1800 Maple Rd Ste 100
Williamsville, NY 14221-2749
Phone (716) 636-5437
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256527 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric and Adolescent Urgent Care of Western New York | Past | Accepting new patients |
Interoperability endpoints
- swiepert@pedsurgentcare.medentdirect.com
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Williamsville, NY
- NPI 1922300516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1699917674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 ESCARPMENT DR",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140922022",
"telephone_number": "716-523-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CENTER ST",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140921706",
"telephone_number": "716-205-3282"
}
],
"practiceLocations": [
{
"address_1": "1800 Maple Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142212749",
"country_code": "US",
"telephone_number": "716-636-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIEPERT",
"first_name": "SUSAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-06",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "256527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.