Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diabetes, Endocrinology, Metabolism, Specialities, PA

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1003956491

Diabetes, Endocrinology, Metabolism, Specialities, PA is an Endocrinology, Diabetes & Metabolism Physician in Teaneck, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

870 Palisade Ave
Teaneck, NJ 07666-3419
Phone: (201) 836-5655
Fax: (201) 836-3571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence MA39378 (NJ)

Record details

NPI number1003956491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wiesen — President · (201) 836-5655
NPI enumeratedFebruary 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address870 Palisade Ave, Teaneck, NJ 07666-3419

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