Active NPI
Jennifer L Wieder, M.D.
- Pediatrics Physician
- Ridgewood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA07803000
- Practice address
- 223 N Van Dien Ave
Ridgewood, NJ 07450-2726 - Phone
- (201) 447-8000
- Fax
- (201) 447-8491
- NPI assigned
- May 16, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA07803000 | NJ | Primary |
Addresses
Primary practice location
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Mailing address
320 W 87TH St
Apt. 1Re
New York, NY 10024-2617
Phone (212) 769-8985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|
| 25MA07803000 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| House Physician Partners, PC | Current | Accepting new patients | |
| Valley Physician Services PC | Current | Accepting new patients | |
| Maimonides Medical Center - MMC Emergency Physicians FPP | Past | Accepting new patients | |
| The Valley Hospital Inc. | Past | Accepting new patients | |
| Englewood Hospital and Medical Center | Past | Accepting new patients |
Locations
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353
223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Teaneck, NJ
- NPI 1457377806
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760433320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W 87TH ST",
"address_2": "APT. 1RE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100242617",
"telephone_number": "212-769-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 N VAN DIEN AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074502726",
"telephone_number": "201-447-8000",
"fax_number": "201-447-8491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDER",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07803000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.