MEDICARE: VERONICA WISNIEWSKI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22DI02802800	NJ

General Provider Information

NPI Number	:	1316565468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA WISNIEWSKI DMD

Provider Business Mailing Address
First Line	:	5 VAN DYKE RD
Second Line	:
City	:	HOPEWELL
State	:	NJ
Zip	:	08525-1211
Country	:	US
Telephone Number	:	732-799-8588
Fax Number	:

Provider Business Practice Location Address
First Line	:	46 VREELAND DR STE 3
Second Line	:
City	:	SKILLMAN
State	:	NJ
Zip	:	08558-2638
Country	:	US
Telephone Number	:	609-924-4421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2020
Last Update Date	:	01/08/2026

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