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

Dr. Mark Wiesen, MD

Individual provider Endocrinology, Diabetes & Metabolism Physician · NPI 1053367912

Dr. Mark Wiesen, MD is an Endocrinology in Teaneck, New Jersey. Qualified in 1975, 51 years ago. Practices with Summit Medical Group PA, a 1,205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
51
Licensed in
NJ
In the registry since
2006
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

870 Palisade Ave Ste 203
Teaneck, NJ 07666-3419
Phone: (201) 836-5655
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence MA39387 (NJ)

Record details

NPI number1053367912
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESDecember 31, 2012
Mailing address870 Palisade Ave, Suite 203, Teaneck, NJ 07666-3419

Medicare enrollment

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

Medicare specialtyENDOCRINOLOGY
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Summit Medical Group Pa — 1205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Teaneck