DR. MICHAEL I WIENER D.O. NPI 1922091370

NPI Information

  • NPI: 1922091370
  • Provider Name: DR. MICHAEL I WIENER, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1124 E RIDGEWOOD AVE STE 201
    RIDGEWOOD, NJ
    ZIP 07450
  • Phone: (201) 881-7282

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NPI Details

DR. Michael I Wiener, D.O. is a family medicine in Ridgewood, NJ with 49 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Michael I Wiener, D.O. NPI is 1922091370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1977

The provider's business location address is:

1124 E RIDGEWOOD AVE STE 201
RIDGEWOOD, NJ
ZIP 07450-943
Phone: (201) 881-7282

The NPI 1922091370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of vaccine (HCPCS:90471)
  • Coronavirus vaccine 14 (HCPCS:91313)
  • Automated urinalysis test (HCPCS:81003)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • Face-to-face behavioral counseling for obesity, 15 minutes (HCPCS:G0447)

The enumeration date for this NPI number is 8/31/2005 and was last updated on 12/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineAW8163812NEW JERSEYNo
2207Q00000XFamily Medicine25MB03506400NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11569309MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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