What is Antonio Wideman's NPI number?

Antonio Wideman's National Provider Identifier (NPI) is 1932835238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Antonio Wideman's specialty?

Antonio Wideman is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Antonio Wideman located?

Antonio Wideman's practice location on file with NPPES is 884 Cummins Hwy Apt 4, Mattapan, MA 02126-2043.

What is Antonio Wideman's phone number?

The practice phone number listed in the NPPES registry for Antonio Wideman is (617) 691-6034.

Is Antonio Wideman's NPI active?

Yes — Antonio Wideman's NPI (1932835238) is active in the NPPES registry as of the last update on 2022-07-28.

IndividualActive

Antonio Wideman, PEER SPECIALIST

NPI 1932835238 · Peer Specialist · Mattapan, MA

Antonio Wideman, PEER SPECIALIST is a Peer Specialist provider in Mattapan, MA (NPI 1932835238).

Provider details

NPI number: 1932835238
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Credential: PEER SPECIALIST
Sex: Male
Sole proprietor: Yes
License: 202222 (MA)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense 202222 (MA)
Other Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

884 Cummins Hwy Apt 4

Mattapan, MA 02126-2043

Phone: (617) 691-6034

Street-level locationGet directions

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Mailing address