Healthcare Provider Details

I. General information

NPI: 1760493787
Provider Name (Legal Business Name): VIWEK BISEN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 RIVER ST STE 900
HOBOKEN NJ
07030-5990
US

IV. Provider business mailing address

221 RIVER ST STE 900
HOBOKEN NJ
07030-5990
US

V. Phone/Fax

Practice location:
  • Phone: 201-596-4976
  • Fax: 877-837-0412
Mailing address:
  • Phone: 201-596-4976
  • Fax: 877-837-0412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number25MB09146700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number254561
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MB09146700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: