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

Matthew Wieland, PA-C

Individual provider Medical Physician Assistant · NPI 1750799318

Matthew Wieland, PA-C is a Medical Physician Assistant in New York, New York. Licensed in Connecticut and New York. Registered with an NPI since 2014.

Licensed in
CT, NY
In the registry since
2014
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

622 W 168th St VC2 Ste #260
New York, NY 10032-3720
Phone: (212) 305-6059
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017758 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4717 (CT)

Record details

NPI number1750799318
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 28, 2014
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020

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