Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Diabetes, Endocrinology, Metabolism, Specialities, PA

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1003956491

Diabetes, Endocrinology, Metabolism, Specialities, PA provides Endocrinology, Diabetes & Metabolism Physician services 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.

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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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