Richard N Tiedemann, MD, FACS

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA2503965900 Issued in NJ

Practice address

1100 Rahway Rd
Scotch Plains, NJ 07076-3412

Phone

(908) 625-8036

Fax

(908) 754-5904

NPI assigned

Aug 24, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wellness Group of New Jersey

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Ramsey, NJ
  • NPI 1225229321
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1952394132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 RAHWAY RD",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763412",
            "telephone_number": "908-625-8036",
            "fax_number": "908-754-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RAHWAY RD",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763412",
            "telephone_number": "908-625-8036",
            "fax_number": "908-754-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEDEMANN",
        "first_name": "RICHARD",
        "middle_name": "N",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA2503965900",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03965900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of Union County
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• The Hollis House
• Therastart LLC
• Tiny Tots Therapy
• Tiny Tots Therapy
• Tiny Tots Therapy Inc.
• Rosanne C Tobey, L.P.C
• Together We Heal Retreats

• General Practice Physician in Scotch Plains, NJ
• Providers in Scotch Plains, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.