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Deactivated NPI 1144556275 Deactivated / Inactive NPI Male Practitioner

Dr. Carl Wierum , MD

Internal Medicine • Hackensack, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Carl Wierum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 23, 2009
NPI Deactivation Date November 17, 2022
Total Practice Duration ~13 Years of Practice (2009 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Carl Wierum, MD was a registered Internal Medicine practicing in Hackensack, NJ. Throughout an active medical career spanning 13 years, Dr. Wierum provided care at the practice location at 241 MOORE ST until profile deactivation on 2022-11-17.

Practice Location & Contact Primary Location

Practice Address

241 Moore St

Hackensack, NJ 076017533

Telephone 2013422478
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
104 Specialists

Practicing in Hackensack, NJ (4957 Statewide)

Telehealth Adoption Rate
22.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MAO1514200

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1215175112

Doctor of Medicine (M.D.)

NPI 1255295572

Doctor of Pharmacy (Pharm.D.)

Kathleen Fagan , DNSC, RN, BC, APN

Nurse Practitioner - Women's Health

NPI 1386974517

DNSC, Registered Nurse, BC, Advanced Practice Nurse

Lillian Tahan

Nurse Practitioner - Adult Health

NPI 1811324247

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 17, 2022

Record deactivated on November 17, 2022

NPI Profile Active October 23, 2009

NPI status registered as active in NPPES database

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Updated Practice Location October 23, 2009

Registered at 241 MOORE ST, HACKENSACK, NJ 076017533 (Tel: 2013422478)

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Updated Business Mailing Address October 23, 2009

Registered at 241 MOORE ST, HACKENSACK, NJ 076017533 (Tel: 2013422478)

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Provider Name / Credentials Updated October 23, 2009

Recorded as CARL WIERUM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2009

Internal Medicine (License #25MAO1514200 in NJ)

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Initial NPI Registration & Enumeration October 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144556275
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2009
Last Update: October 23, 2009
Deactivation Date: November 17, 2022

Mailing Address

241 Moore St

Hackensack, NJ 076017533

Phone: 2013422478

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.