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

Fruma Leah Wiederman, PA-C

Individual provider Physician Assistant · NPI 1881828549

Fruma Leah Wiederman, PA-C is a Physician Assistant in Hewlett, New York. Qualified in 2008, 18 years ago. Practices with Ahava Medical and Rehabilitation Center, LLC, a 150-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1800 Rockaway Ave
Hewlett, NY 11557-1665
Phone: (516) 887-4335
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013097 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 093097 (NY)

Record details

NPI number1881828549
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 11, 2009
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ahava Medical And Rehabilitation Center, Llc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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