VIVIAN WIATER PA-C
NPI 1174908446
Physician Assistant - Surgical in New Haven, CT

Active since July 28, 2015PECOS Enrolled
333 CEDAR ST, STE TMP 4, NEW HAVEN, CT 06510(203) 737-2096 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2017, Nov 10, 2015 (2 updates tracked since 2015).

About Vivian Wiater Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN WIATER PA-C (NPI 1174908446) is an individual surgical provider in New Haven, Connecticut, licensed in Connecticut (3393) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174908446
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameVIVIAN WIATERCredential: PA-C
Location Address333 CEDAR ST, STE TMP 4New Haven, CT 06510-3206
Mailing Address333 Cedar St, Ste Tmp 4New Haven, CT 06510-3206 · (203) 737-2096
Sole ProprietorNo
Enumeration DateJuly 28, 2015
Last NPPES UpdateApril 24, 20172 updates tracked since enumeration
NPI 1174908446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CT · 3393
333 CEDAR ST, New Haven, CT 06510

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vivian Wiater Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
333 CEDAR ST, DCB 3
NEW HAVEN, CT 06510
Internal Medicine (Gastroenterology)
333 CEDAR ST, YNHH INTERNAL MEDICINE-GI,SECTION OF DIGESTIVE DISEASES
NEW HAVEN, CT 06510
Anesthesiology (Pediatric Anesthesiology)
333 CEDAR ST, TMP 3
NEW HAVEN, CT 06510
Student in an Organized Health Care Education/Training Program
333 CEDAR ST, YALE-NEW HAVEN HOSPITAL DEPARTMENT OF PEDIATRICS
NEW HAVEN, CT 06510
Anesthesiology
333 CEDAR ST
NEW HAVEN, CT 06510
Internal Medicine (Cardiovascular Disease)
333 CEDAR ST, FMP 3
NEW HAVEN, CT 06510
Nurse Practitioner (Psychiatric/Mental Health)
333 CEDAR ST
NEW HAVEN, CT 06510
Internal Medicine (Medical Oncology)
333 CEDAR ST
NEW HAVEN, CT 06510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Wiater's NPI number?

The NPI number for Vivian Wiater is 1174908446. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Vivian Wiater located?

Vivian Wiater practices at 333 Cedar St Ste Tmp 4, New Haven, CT 06510. The listed phone number is (203) 737-2096.

What is Vivian Wiater's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Vivian Wiater enrolled in Medicare?

Yes. Vivian Wiater is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivian Wiater was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.