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WILLIAM THOMAS WIEDEMANN DO
NPI 1285337949
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since March 22, 2023
301 E MAIN ST, BAY SHORE, NY 11706(631) 968-3970 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About William Thomas Wiedemann Do NPPES

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

WILLIAM THOMAS WIEDEMANN DO (NPI 1285337949) is an individual student in an organized health care education/training program in Bay Shore, New York, licensed in New York (339318-01) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1285337949
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM THOMAS WIEDEMANNCredential: DO
Location Address301 E MAIN STBay Shore, NY 11706-8408
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3970
Phone(631) 968-3970
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1285337949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 339318-01
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
301 E MAIN ST, Bay Shore, NY 11706
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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.

DR. EHAB SABRY HANNA M.D.
Hospitalist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
JENNA BANNON MS, RD, CDN
Dietitian, Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3593
DR. MEHUL PRAGANI MD
Anesthesiology
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
ANDREA PASSANNANTE OT, OTR/L, CDIS
Occupational Therapist
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3400
DR. STEPHEN CONSTANTINE LANDELL DNP, CRNA, RN
Nurse Anesthetist, Certified Registered
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (516) 734-7000
PRIYANSHI CHANDIWALA
Physician Assistant (Surgical)
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DAVID VAUGHANS DO
Student in an Organized Health Care Education/Training Program
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3000
DR. MATTHEW DAVID SCHWARTZ D.O.
Emergency Medicine
301 E MAIN ST
BAY SHORE, NY 11706
Suffolk County (631) 968-3314

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 William Wiedemann's NPI number?

The NPI number for William Wiedemann is 1285337949. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is William Wiedemann located?

William Wiedemann practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 968-3970.

What is William Wiedemann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for William Wiedemann was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.