Individual provider Active NPI

Annemieke LMF De Wilde, M.D.

  • Internal Medicine Physician
  • Whippany, NJ
National Provider Identifier
1992738462
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA05940300 Issued in NJ
Practice address
67 Whippany
Room 4C-127
Whippany, NJ 07981-0903
Phone
(973) 386-5213
Fax
(973) 386-4184
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA05940300 NJ Primary
Occupational Medicine Physician 2083X0100X 25MA05940300 NJ

Addresses

Primary practice location

67 Whippany
Room 4C-127
Whippany, NJ 07981-0903

Mailing address

7 Johnston Cir
Basking Ridge, NJ 07920-3741
Phone (908) 658-3362

Other names 1

  • Dr. Annemie Dewilde Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05940300NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1992738462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JOHNSTON CIR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203741",
            "telephone_number": "908-658-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WHIPPANY",
            "address_2": "ROOM 4C-127",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079810903",
            "telephone_number": "973-386-5213",
            "fax_number": "973-386-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE WILDE",
        "first_name": "ANNEMIEKE",
        "middle_name": "LMF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05940300",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NJ",
            "license": "25MA05940300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNEMIE",
            "last_name": "DEWILDE",
            "prefix": "DR.",
            "credential": "M.D., M.P.H., FACOEM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.