TODD M WIDER MD – NPI #1629157003
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

TODD WIDER is a surgeon located in NEW YORK, NY. NPPES has assigned the NPI number 1629157003 to TODD WIDER on November 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 17 years ago on Feb 18, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TODD WIDER below.

NPI Profile for
TODD M. WIDER

NPI Number
1629157003
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TODD M. WIDER
Professional Name: TODD M WIDER
Credentials
MD
Primary location
871 5TH AVENUE
NEW YORK, NY 10023
Phone: (212) 772-1229 Fax: (212) 737-8569
Mailing address
48 ROUTE 25A
202
SMITHTOWN, NY 11787-1431
Phone: (631) 862-3625 Fax: (631) 862-3347
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
NY 193602

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.