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DORIAN J. WILSON M.D.
NPI 1700811494
Transplant Surgery in Newark, NJ

Active since July 11, 2006
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107(973) 972-0037 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dorian J. Wilson M.d. NPPES

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

DORIAN J. WILSON M.D. (NPI 1700811494) is an individual transplant surgery provider in Newark, New Jersey, licensed in New Jersey (25MA04259200) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1700811494
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDORIAN J. WILSONCredential: M.D.
Location Address30 BERGEN ST, ADMC 12 1205Newark, NJ 07107-3000
Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000
Phone(973) 972-0037
Sole ProprietorNo
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700811494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in NJ · 25MA04259200
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
30 BERGEN ST, Newark, NJ 07107
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Other Identifiers 3

Medicaid2008505NJ
Medicare ID-Type Unspecified579345NJ
Medicare UPIND19909

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. CHARLES FLEISCHNER M.D.
Emergency Medicine
30 BERGEN ST, ADMC 1110
NEWARK, NJ 07107
Essex County (973) 972-9261
VIVEK K. VADEHRA M.D.
Hospitalist
30 BERGEN ST, ADMC 12 1205
NEWARK, NJ 07107
Essex County (973) 972-0037
MATTHEW GRUEN MARIN M.D.
Internal Medicine (Pulmonary Disease)
30 BERGEN ST, ADMC 12 1205
NEWARK, NJ 07107
Essex County (973) 972-0037
OWEN R. RAHMAN M.D.
Anesthesiology (Pain Medicine)
30 BERGEN ST, ADMC 12 1205
NEWARK, NJ 07107
Essex County (973) 972-0037
NOAH PRAVEEN KUMAR KONDAMUDI M.D.
Pediatrics (Pediatric Emergency Medicine)
30 BERGEN ST, ADMC 12 1205
NEWARK, NJ 07107
Essex County (973) 972-0037
ALEX STEWART STAGNARO-GREEN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
30 BERGEN ST, ADMC 12 1205
NEWARK, NJ 07107
Essex County (973) 972-0037
ABRAHAM AVIV M.D.
Pediatrics (Pediatric Nephrology)
30 BERGEN ST, ADMC 12 1205
NEWARK, NJ 07107
Essex County (973) 972-0037
DR. DIMPI KALIRA M.D.
Emergency Medicine
30 BERGEN ST, ADMC 1110
NEWARK, NJ 07107
Essex County (973) 972-9261

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 Dorian Wilson's NPI number?

The NPI number for Dorian Wilson is 1700811494. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Dorian Wilson located?

Dorian Wilson practices at 30 Bergen St Admc 12 1205, Newark, NJ 07107. The listed phone number is (973) 972-0037.

What is Dorian Wilson's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

When was this NPI record last updated?

The NPPES record for Dorian Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.