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DR. TODD M WIDER MD
NPI 1629157003
Surgery - Plastic and Reconstructive Surgery in New York, NY

Active since November 04, 2006
871 5TH AVENUE, NEW YORK, NY 10023(212) 772-1229(212) 737-8569 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Todd M Wider Md NPPES

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

DR. TODD M WIDER MD (NPI 1629157003) is an individual plastic and reconstructive surgery provider in New York, New York, licensed in New York (193602) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1629157003
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. TODD M WIDERCredential: MD
Location Address871 5TH AVENUENew York, NY 10023
Mailing Address48 Route 25a, 202Smithtown, NY 11787-1431 · (631) 862-3625 · Fax (631) 862-3347
Phone(212) 772-1229
Fax(212) 737-8569
Sole ProprietorYes
Enumeration DateNovember 4, 2006
Last NPPES UpdateFebruary 18, 2009
✔ NPI 1629157003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NY · 193602
Definition
A surgeon who specializes in plastic and reconstructive surgery.
871 5TH AVENUE, New York, NY 10023
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Other Names 1

Professional Name (2)Mr. Todd M Wider Md

Other Identifiers 1

Medicare UPING33228

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 Todd Wider's NPI number?

The NPI number for Todd Wider is 1629157003. It was assigned to this individual provider in the NPPES registry on November 4, 2006. The provider is also known as Mr. Todd M Wider MD.

Where is Todd Wider located?

Todd Wider practices at 871 5th Avenue, New York, NY 10023. The listed phone number is (212) 772-1229.

What is Todd Wider's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Todd Wider was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.