Mark Wiener, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

310829 Issued in NY

Practice address

409 E 60TH St FL 5
New York, NY 10022-1506

Phone

(914) 787-1035

NPI assigned

May 1, 2017

Last updated

Oct 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Psychiatry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Weill Medical College of Cornell

  dba Dept. of Psychiatry

  • Psychologist
  • New York, NY
  • NPI 1871692210
  Medicare reassignment Care Compare group NPD
• The New York and Presbyterian Hospital

  dba Ambulatory Care Network

  • Nutritionist
  • New York, NY
  • NPI 1891857025
  Medicare reassignment NPD
• New York and Presbyterian Hosp

  • Psychiatry Physician
  • New York, NY
  • NPI 1912173329
  NPD
• The New York and Presbyterian Hospital

  dba New-York-Presbyterian Pharmacy

  • Community/Retail Pharmacy
  • White Plains, NY
  • NPI 1457057226
  NPD
• Weill Medical College of Cornell

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1144729385
  NPD

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1912432618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 HURON RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172213",
            "telephone_number": "201-310-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 60TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221506",
            "telephone_number": "914-787-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "315-464-3165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIENER",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "310829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilona Wiener, M.D.
• Jack - Wiener, L.P., NCPSYA
• Joanna Wiener
• Leib Wiener
• Lila Grace Wiener, LMSW
• Melissa Wiener, M.D.
• Michele L Wiener, M.D.
• Sherry Wiener, LCSW
• Stefanie Wiener, RDN, CDN
• Wiliam Wiener, PH.D

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.