Melvin Wiederkehr


Address: 198 Foster Ave, Brooklyn, NY 11230-2133
Phone: 7184357676

Melvin Wiederkehr (NPI# 1285647206, PAC ID# 3476738758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1285647206
PAC ID by PECOS 3476738758
Professional Enrollment ID I20110502000285
Full Name Melvin Wiederkehr
Address 198 Foster Ave
Brooklyn
NY 11230-2133
Phone Number 7184357676
Gender M
Medical School STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 1975
Primary Specialty OTOLARYNGOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330194 MAIMONIDES MEDICAL CENTER

Other Locations

Address Phone Organization
198 Foster Ave, Brooklyn, NY 11230-2133 7184357676

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Office Location

Street Address 198 FOSTER AVE
City BROOKLYN
State NY
Zip 11230-2133

Physicians in the same location

Name Specialty Organization Address
Raynat Glaz Physical Therapy Parkville Medical Health PC 198 Foster Ave, Brooklyn, NY 11230-2134
Roger Gorvitz Occupational Therapy Parkville Medical Health PC 198 Foster Ave, Brooklyn, NY 11230-2134
Marie B Nazaire Physician Assistant Parkville Medical Health PC 198 Foster Ave, Suite B, Brooklyn, NY 11230-2134

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Name Specialty Organization Address
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Leon Zacharowicz Neurology United Cerebral Palsy of New York City Inc 175 Lawrence Ave, Brooklyn, NY 11230-1102
Jasmine Wallace Qualified Speech Language Pathologist United Cerebral Palsy of New York City Inc 175 Lawrence Ave, Brooklyn, NY 11230-1102
Karin Ferri Dellacio Clinical Social Worker United Cerebral Palsy of New York City Inc 175 Lawrence Ave, Brooklyn, NY 11230-1102
Erin Gaffney Occupational Therapy United Cerebral Palsy of New York City Inc 175 Lawrence Ave, Brooklyn, NY 11230-1102
Emmanoyil Vlepakis Qualified Speech Language Pathologist United Cerebral Palsy of New York City Inc 175 Lawrence Ave, Brooklyn, NY 11230-1102
Sharon D Lipscomb Nurse Practitioner United Cerebral Palsy of New York City Inc 175 Lawrence Ave, Brooklyn, NY 11230-1102
Samantha Nach Qualified Speech Language Pathologist United Cerebral Palsy of New York City Inc 175 Lawrence Ave, Brooklyn, NY 11230-1102
Anthony Aversano Qualified Speech Language Pathologist United Cerebral Palsy of New York City Inc 175 Lawrence Ave, Brooklyn, NY 11230-1102
Find all physicians in zip 11230

Competitor

Search similar physicians

City BROOKLYN
Zip Code 11230
Specialty OTOLARYNGOLOGY
City + Specialty BROOKLYN + OTOLARYNGOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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