Active NPI
Howard Ernest Wiener, M.D.
- Pediatrics Physician
- East Brunswick, NJ
National Provider Identifier
1831226307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA03603000
- Practice address
- 6 Beaverdam Dr
East Brunswick, NJ 08816-2456 - Phone
- (732) 821-1830
- Fax
- (732) 821-1754
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150120000274 | NJ | Order and Referring Only - Pediatric Medicine | 9335463488 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA03603000 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6 Beaverdam Dr
East Brunswick, NJ 08816-2456
Mailing address
6 Beaverdam Dr
East Brunswick, NJ 08816-2456
Phone (732) 821-1830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 29, 2016.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459209600000",
"number": "1831226307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 BEAVERDAM DR",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088162456",
"telephone_number": "732-821-1830",
"fax_number": "732-821-1754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 BEAVERDAM DR",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088162456",
"telephone_number": "732-821-1830",
"fax_number": "732-821-1754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENER",
"first_name": "HOWARD",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2016-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA03603000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.