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

Allen J Wiesenfeld, MD

Individual provider Diagnostic Radiology Physician · NPI 1023044831

Allen J Wiesenfeld, MD is an Interventional Radiology in Lake Success, New York. Graduated from State University of New York Downstate Medical Center in 1984, 42 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2800 Marcus Ave
Lake Success, NY 11042-1008
Phone: (516) 622-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 165269 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 165269 (NY)

Record details

NPI number1023044831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJune 5, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lake Success