Active NPI
Sheldon Wieder, M.D.
- Diagnostic Radiology Physician
- Brooklyn, NY
National Provider Identifier
1750364592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 101867
- Practice address
- 4802 10TH Ave
Brooklyn, NY 11219-2916 - Phone
- (718) 283-8958
- Fax
- (718) 635-7105
- NPI assigned
- Nov 25, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 101867 | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Brooklyn, NY 11219-2916
Mailing address
500A Grand St Apt 4a
New York, NY 10002-4124
Phone (646) 213-7884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02108616 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101867 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University Medical Center Faculty Practice Radiology | Diagnostic Radiology | Past | Accepting new patients |
| Alpha Magnetic Resonance Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
| NYU Langone Hospitals | Past | Accepting new patients | |
| Advanced MRI, PC - Raytel Medical Imaging-Bronx | Past | Accepting new patients | |
| American Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Maimonides Medical Center - MMC Radiology FPP | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Imaging Consultants PC | Diagnostic Radiology | Past | Accepting new patients |
| Nyumc Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 8
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.
-
- Radiology Clinic/Center
- Bronx, NY
- NPI 1518911221
-
- Diagnostic Radiology Physician
- Bronx, NY
- NPI 1124074539
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1811948284
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1114038353
-
dba NYU Langone Hospital - Suffolk
- Psychiatric Hospital Unit
- Patchogue, NY
- NPI 1508687021
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1962513101
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1922052059
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780660217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750364592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500A GRAND ST APT 4A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024124",
"telephone_number": "646-213-7884",
"fax_number": "212-473-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-8958",
"fax_number": "718-635-7105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDER",
"first_name": "SHELDON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "101867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02108616",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.