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EDWARD WIEDEMANN
NPI 1265013197
Social Worker in Old Bethpage, NY

Active since April 21, 2021PECOS Enrolled
191 BETHPAGE SWEET HOLLOW RD, OLD BETHPAGE, NY 11804(516) 870-1600 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward Wiedemann NPPES

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

EDWARD WIEDEMANN (NPI 1265013197) is an individual social worker in Old Bethpage, New York, licensed in New York (106818) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265013197
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameEDWARD WIEDEMANN
Location Address191 BETHPAGE SWEET HOLLOW RDOld Bethpage, NY 11804-1342
Mailing Address2 Saddle LnCentereach, NY 11720-2512 · (646) 351-2937
Phone(516) 870-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1265013197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 106818
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
191 BETHPAGE SWEET HOLLOW RD, Old Bethpage, NY 11804
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Wiedemann is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395203376
PECOS Enrollment IDI20260819004950
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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Wiedemann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valera Medical, P.C.
27 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
NPI 1437782349 (646) 450-7748

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

FAMILY RESIDENCIES AND ESSENTIAL ENTERPRISES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
191 BETHPAGE SWEET HOLLOW RD
OLD BETHPAGE, NY 11804
Nassau County (516) 870-1600
FAMILY RESIDENCIES AND ESSENTIAL ENTERPRISES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
191 BETHPAGE SWEET HOLLOW RD
OLD BETHPAGE, NY 11804
Nassau County (516) 870-1600
FAMILY RESIDENCIES AND ESSENTIAL ENTERPRISES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
191 BETHPAGE SWEET HOLLOW RD
OLD BETHPAGE, NY 11804
Nassau County (516) 870-1600
LONG ISLAND INTEGRATED MEDICAL SERVICES PC
Clinic/Center (Physical Therapy)
191 BETHPAGE SWEET HOLLOW RD
OLD BETHPAGE, NY 11804
Nassau County (516) 870-1600
FAMILY RESIDENCIES AND ESSENTIAL ENTERPRISES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
191 BETHPAGE SWEET HOLLOW RD
OLD BETHPAGE, NY 11804
Nassau County (516) 870-1600
COMMUNITY AND FAMILY RESIDENCES
Bus
191 BETHPAGE SWEET HOLLOW RD
OLD BETHPAGE, NY 11804
Nassau County (516) 870-1600
FAMILY RESIDENCIES AND ESSENTIAL ENTERPRISES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
191 BETHPAGE SWEET HOLLOW RD
OLD BETHPAGE, NY 11804
Nassau County (516) 870-1600
FAMILY RESIDENCIES AND ESSENTIAL ENTERPRISES
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
191 BETHPAGE SWEET HOLLOW RD
OLD BETHPAGE, NY 11804
Nassau County (516) 870-1600

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 Edward Wiedemann's NPI number?

The NPI number for Edward Wiedemann is 1265013197. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Edward Wiedemann located?

Edward Wiedemann practices at 191 Bethpage Sweet Hollow Rd, Old Bethpage, NY 11804. The listed phone number is (516) 870-1600.

What is Edward Wiedemann's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Edward Wiedemann enrolled in Medicare?

Yes. Edward Wiedemann is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Wiedemann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Wiedemann reassigns Medicare benefits to Valera Medical, P.C. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Wiedemann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Wiedemann was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.