Individual provider Active NPI

Martin R Weinberg, MD

  • Ophthalmology Physician
  • Teaneck, NJ
National Provider Identifier
1043288608
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
46646 Issued in NJ
Practice address
405 Cedar LN Ste 5
Teaneck, NJ 07666-1739
Phone
(201) 836-8333
Fax
(201) 836-7301
NPI assigned
Mar 9, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 46646 NJ Primary
Ophthalmology Physician 207W00000X 147515 NY

Addresses

Primary practice location

405 Cedar LN Ste 5
Teaneck, NJ 07666-1739

Mailing address

1255 Broad St Ste 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

Other identifiers 1

IdentifierTypeStateIssuer
5615909MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwweinberg@retinanj.intellechartdirect.net Eye Centers Of America, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000621 NJ Practitioner - Ophthalmology 6305012436 Reassigns benefits to 1 organization
Practice locations: Teaneck, NJ

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Eastern Virginia Medical School, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

1086 Teaneck Rd
Suite 2a
Teaneck, NJ 07666-4858
Phone (201) 962-9396

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46646NJMDOphthalmology Physician
147515NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC Ophthalmology CurrentSince Jun 1, 2019 Accepting new patients

Locations

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

405 Cedar Ln
Ste 5
Teaneck, NJ 07666
Phone (201) 836-8333

Interoperability endpoints

  • Direct secure messaging: martin.weinberg.1@3162.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1043288608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 BROAD ST STE 104",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033061",
            "telephone_number": "973-707-5632",
            "fax_number": "866-806-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 CEDAR LN STE 5",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661739",
            "telephone_number": "201-836-8333",
            "fax_number": "201-836-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "MARTIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "46646",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "147515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5615909",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwweinberg@retinanj.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Centers Of America, LLC",
            "address_1": "405 Cedar Ln Ste 5",
            "city": "Teaneck",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076661739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.