DR. SHIRA WIEDER (NPI# 1104211580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104211580 |
| Entity Type | Individual |
| Full Name | DR. SHIRA WIEDER |
| Credential | MD |
| Practice Address |
3333 Henry Hudson Pkwy Apt 1b Bronx NY 10463-3235 |
| Practice Telephone | 7185430900 |
| Mailing Telephone | 7185430900 |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 298369 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3333 HENRY HUDSON PKWY APT 1B |
| City | BRONX |
| State | NY |
| Zip Code | 10463-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313466 | Nikki Krizia Oral | Physical Therapist | 3424 Kingsbridge Avenue, Bronx, 7h, New York, NY 10463 | 2020-07-10 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1578102612 | Fanta Nawada | Licensed Practical Nurse | 2899 Kingsbrige Terrace, Bronx, NY 10463 | 2020-01-06 |
| 1740821016 | James Albert Curtis | Technician | 3475 Greystone Ave. Apt 2h, Bx, NY 10463 | 2019-10-08 |
| 1598328890 | Chad Feay | Health Educator | 75 W. 238th Street Apt 7e, Bronx, NY 10463 | 2019-04-22 |
| 1174093488 | Bobby E Felicie | Counselor | 3205 Oxford Ave, 10, Bronx, NY 10463 | 2018-11-29 |
| 1083114375 | Riverdale Ophthalmology Pllc | Ophthalmology | 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 | 2018-02-13 |
| 1942713342 | Iql, LLC | Health Educator | 3207 Oxford Avenue, Apt 11, Bronx, NY 10463 | 2017-11-08 |
| 1275045312 | Miziel Remolona | Nurse Practitioner | 3486 Fort Independence St, Ph, Bronx, NY 10463 | 2017-10-30 |
| 1699284117 | Nidhi Vijay Mehta | Physical Therapist | 280 W, 231st St, Bronx, Newyork City, NY 10463 | 2017-09-27 |
| Find all providers in zip 10463 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508048240 | Advanced Dermatology of New York PC | Dermatology | 291 E 149th St, Bronx, NY 10451-5601 | 2007-12-05 |
| 1477689362 | Susan Katz Md | Dermatology | 1578 Williasbridge Road, Bronx, NY 10461-6265 | 2007-02-26 |
| 1225199243 | Ronald Roman Liteplo | Dermatology | 3176 Bainbridge Avenue, Bronx, NY 10467-3980 | 2006-12-13 |
| 1619075389 | Peter G Burk | Dermatology | 267a W 231st St, Bronx, NY 10463-3903 | 2006-09-20 |
| 1477536068 | Kenneth Edward Bloom | Dermatology | 1455 West Ave, Bronx, NY 10462-7304 | 2005-11-28 |
| 1235124355 | Steven R Cohen | Dermatology | 111 East 210th Street, Division of Dermatology, Bronx, NY 10467-2490 | 2005-09-14 |
| 1295727808 | Eugene J Whang | Dermatology | 3620 E Tremont Ave, 2nd Floor, Bronx, NY 10465-2022 | 2005-08-19 |
| 1518964923 | Advanced Dermatology of New York PC | Dermatology | 2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614 | 2005-06-30 |
| 1972917524 | Emily Hejazi | Dermatology | 111 E 210th St, Bronx, NY 10467-2401 | 2014-06-11 |
| 1134547805 | Allison Kutner | Dermatology | 111 E 210th St, Bronx, NY 10467-2401 | 2014-03-31 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.