MATTHEW WIEDERMAN
NPI 1750042701
Specialist in Brooklyn, NY

Active since January 03, 2022
1312 38TH ST, BROOKLYN, NY 11218(718) 686-3700 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew Wiederman NPPES

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

MATTHEW WIEDERMAN (NPI 1750042701) is an individual specialist in Brooklyn, New York and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1750042701
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMATTHEW WIEDERMAN
Location Address1312 38TH STBrooklyn, NY 11218-3612
Mailing Address1312 38th StBrooklyn, NY 11218-3612 · (718) 686-3700
Sole ProprietorNo
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1750042701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1312 38TH ST, Brooklyn, NY 11218

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

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

Developmental Disabilities
3820 14TH AVE
Brooklyn, NY 11218
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group

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.

Specialist
1312 38TH ST
BROOKLYN, NY 11218
Specialist
1312 38TH ST
BROOKLYN, NY 11218
Specialist
1312 38TH ST
BROOKLYN, NY 11218
Behavior Analyst
1312 38TH ST
BROOKLYN, NY 11218
Specialist
1312 38TH ST
BROOKLYN, NY 11218
Specialist
1312 38TH ST
BROOKLYN, NY 11218
Specialist
1312 38TH ST
BROOKLYN, NY 11218
Specialist
1312 38TH ST
BROOKLYN, NY 11218

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 Matthew Wiederman's NPI number?

The NPI number for Matthew Wiederman is 1750042701. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Matthew Wiederman located?

Matthew Wiederman practices at 1312 38th St, Brooklyn, NY 11218. The listed phone number is (718) 686-3700.

What is Matthew Wiederman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Matthew Wiederman enrolled in Medicare?

Yes. Matthew Wiederman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Wiederman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Wiederman reassigns Medicare benefits to Harmony Services, Inc. (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 Matthew Wiederman'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 Matthew Wiederman was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.