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Dr. Mark Wiesen, M.D.

Endocrinology, Diabetes & Metabolism Physician in Teaneck, NJ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053367912

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Registry record

Entity type Individual (Type 1)
Name Dr. Mark Wiesen
Credential M.D.
Sex Male
Practice address 870 Palisade Ave, Suite 203, Teaneck, NJ, 07666
Phone (201) 836-5655
Enumeration date May 25, 2006
Last updated in NPPES Dec 31, 2012

Taxonomy & licenses

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians · License MA39387 (NJ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0712507 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Mark Wiesen?
The National Provider Identifier (NPI) for Mark Wiesen is 1053367912, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mark Wiesen practice?
The practice location on file with NPPES is in Teaneck, NJ. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-31.