Individual provider Active NPI

Howard Ernest Wiener, M.D.

  • Pediatrics Physician
  • East Brunswick, NJ
National Provider Identifier
1831226307
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA03603000 Issued in NJ
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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150120000274 NJ Order and Referring Only - Pediatric MedicinePractitioner - 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)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA03603000 NJ Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.