Active NPI
Stella Weimiao Weng, DDS
- General Practice Dentistry
- Linden, NJ
National Provider Identifier
1063192557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02984500
- Practice address
- 1030 W Edgar Rd
Ste B
Linden, NJ 07036 - Phone
- (908) 545-3031
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02984500 | NJ | Primary |
Addresses
Primary practice location
1030 W Edgar Rd
Ste B
Linden, NJ 07036
Mailing address
1030 W Edgar Rd
Ste B
Linden, NJ 07036
Phone (908) 545-3031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02984500 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Am Ghanem Dental LLC | General Practice | Current | Accepting new patients |
Locations
1030 W Edgar Rd
Ste B
Linden, NJ 07036
Phone (908) 545-3031
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1063192557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 W EDGAR RD",
"address_2": "STE B",
"city": "LINDEN",
"state": "NJ",
"postal_code": "07036",
"telephone_number": "908-545-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 W EDGAR RD",
"address_2": "STE B",
"city": "LINDEN",
"state": "NJ",
"postal_code": "07036",
"telephone_number": "908-545-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENG",
"first_name": "STELLA",
"middle_name": "WEIMIAO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02984500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.