DR. MATTHIAS HEINZ WIEDERHOLZ (NPI# 1336327279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336327279 |
| Entity Type | Individual |
| Full Name | DR. MATTHIAS HEINZ WIEDERHOLZ |
| Credential | M.D. |
| Practice Address |
4056 Quakerbridge Rd Suite 111 Lawrenceville NJ 08648-4779 |
| Practice Telephone | 6095888600 |
| Practice Fax Number | 6095888602 |
| Mailing Telephone | 6095888600 |
| Mailing Fax Number | 6095888602 |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2010-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 059349 | GA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | M2869 | TX | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MA08436100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
4056 QUAKERBRIDGE RD SUITE 111 |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-4779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558398859 | Jill Young | Internal Medicine | 4056 Quakerbridge Rd, Suite 101, Lawrenceville, NJ 08648-4779 | 2006-06-26 |
| 1083044978 | Krista Rubini | Physical Therapist | 4056 Quakerbridge Rd, Lawrenceville, NJ 08648-4779 | 2013-11-14 |
| 1356610133 | Performance Spine & Sports Medicine | Prosthetic/Orthotic Supplier | 4056 Quakerbridge Rd, 111, Lawrenceville, NJ 08648-4779 | 2011-12-22 |
| 1871862995 | Susann H Clothier | Chiropractor | 4056 Quakerbridge Rd, Suite 111, Lawrenceville, NJ 08648-4779 | 2011-12-19 |
| 1235431941 | Aisling Marie Linehan | Physical Therapist | 4056 Quakerbridge Rd, Suite 111, Lawrenceville, NJ 08648-4779 | 2010-12-01 |
| 1467768176 | James M Tholany | Physical Therapist | 4056 Quakerbridge Rd, Suite 111, Lawrenceville, NJ 08648-4779 | 2010-08-19 |
| 1629381025 | Radhika Laskarzewski | Family Medicine | 4056 Quakerbridge Rd, Suite 100, Lawrenceville, NJ 08648-4779 | 2010-07-14 |
| 1275859217 | Alan Louis Guy | Physical Medicine & Rehabilitation | 4056 Quakerbridge Rd, Suite #111, Lawrenceville, NJ 08648-4779 | 2010-04-15 |
| 1649435702 | Edward J Kinsella | Physical Therapist | 4056 Quakerbridge Rd, Suite 111, Lawrenceville, NJ 08648-4779 | 2008-07-28 |
| 1669633558 | Mahmud Ibrahim | Student in an Organized Health Care Education/Training Program | 4056 Quakerbridge Rd, Suite 111, Lawrenceville, NJ 08648-4779 | 2008-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861654659 | Jose Mathew | Physical Medicine & Rehabilitation | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846239 | Ferrer Pain Management and Electrodiagnostics LLC | Physical Medicine & Rehabilitation | 647 Main Ave Ste 202, Passaic, NJ 07055-4962 | 2020-06-24 |
| 1700416492 | Nj Vora Health P.c | Physical Medicine & Rehabilitation | 1651 Federspiel St, Fort Lee, NJ 07024-6940 | 2020-01-22 |
| 1659919579 | Amanda Rodriguez | Physical Medicine & Rehabilitation | 50 Galesi Dr Ste 8, Wayne, NJ 07470-4842 | 2019-12-11 |
| 1376006486 | Mgv Medical, LLC | Physical Medicine & Rehabilitation | 48 S Franklin Tpke Ste 104, Ramsey, NJ 07446-2558 | 2019-04-08 |
| 1780157222 | Advanced Spine and Pain LLC | Physical Medicine & Rehabilitation | 432 Lakehurst Rd Fl 1, Toms River, NJ 08755-7333 | 2019-01-08 |
| 1477032894 | Phoenix Spine and Regenerative Orthopedics LLC | Physical Medicine & Rehabilitation | 105 Raider Blvd Ste 208, Hillsborough, NJ 08844-1528 | 2018-08-07 |
| 1275046724 | Advanced Spine and Pain, LLC | Physical Medicine & Rehabilitation | 1820 Corlies Ave Ste 10a, Neptune, NJ 07753-4860 | 2017-11-07 |
| 1225558596 | Sirona Healthcare LLC | Physical Medicine & Rehabilitation | 2740 Route 10 West, Suite 104, Morris Plains, NJ 07950 | 2017-06-27 |
| 1275053563 | Prime Painmanagement PC | Physical Medicine & Rehabilitation | 118-126 Broad Avenue, Unit 11, Palisades Park, NJ 07650 | 2017-06-27 |
| 1528588829 | Neurological Associates of Newark LLC | Physical Medicine & Rehabilitation | 85 S Harrison St Ste 204, East Orange, NJ 07018-1740 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
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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.