Individual provider Active NPI

Craig Bennett Wiener, MD, FACOG

  • Obstetrics & Gynecology Physician
  • Paramus, NJ
National Provider Identifier
1801886148
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA05339700 Issued in NJ
Practice address
2 Sears Dr Ste 104
Paramus, NJ 07652-3525
Phone
(201) 262-0075
Fax
(201) 262-9440
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA05339700 NJ Primary

Addresses

Primary practice location

2 Sears Dr Ste 104
Paramus, NJ 07652-3525

Mailing address

2 Sears Dr Ste 104
Paramus, NJ 07652-3525
Phone (201) 262-0075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address craig.wiener@direct.lifelinemedicalassoc.nextgenshare.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040607001465 NJ Practitioner - Obstetrics/Gynecology 0648253138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

1 W Ridgewood Ave
209 Thomas Golin MD
Paramus, NJ 07652-2356
Phone (201) 444-5744

16 Pocono Rd
Denville, NJ 07834-2901
Phone (973) 784-3935

16 Pocono Rd
Denville, NJ 07834-2905

16 Pocono Rd
Suite 309
Denville, NJ 07834-2908
Phone (973) 983-7695

2 Sears Dr Unit
104 Comprehensive Womens Care of Paramus
Paramus, NJ 07652-3525
Phone (201) 262-0075

270 Old Hook Rd
Westwood, NJ 07675-3117
Phone (201) 358-0505

Hospital & facility affiliations

  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05339700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of New Jersey PA Obstetrics & Gynecology CurrentSince Nov 1, 2025 Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Jun 1, 2004 Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

65 James St
Edison, NJ 08820
Phone (732) 321-7010

440 Old Hook Rd
Emerson, NJ 07630
Phone (201) 265-4400

555 Kinderkamack Rd
Oradell, NJ 07649
Phone (201) 261-2400

2 Sears Dr
Ste 104
Paramus, NJ 07652
Phone (201) 262-0075

99 Cherry Hill Rd
Ste 220
Parsippany, NJ 07054
Phone (973) 316-6763

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Interoperability endpoints

  • Direct secure messaging: craig.wiener.1@27010.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cwiener190371@ahs.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1801886148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SEARS DR STE 104",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523525",
            "telephone_number": "201-262-0075",
            "fax_number": "201-262-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SEARS DR STE 104",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523525",
            "telephone_number": "201-262-0075",
            "fax_number": "201-262-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIENER",
        "first_name": "CRAIG",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "MD, FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA05339700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.wiener@direct.lifelinemedicalassoc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2 Sears Dr Ste 104",
            "city": "Paramus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076523525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.