Edward C Weiss MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA01963200 Issued in NJ

Legal business name

EDWARD C WEISS MD PA

Practice address

95 Northfield Ave
West Orange, NJ 07052-4723

Phone

(973) 731-8050

Fax

(973) 731-8270

NPI assigned

Mar 19, 2007

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Conrod Weiss, MD

Title

Pres

Phone

(973) 731-8050

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1063536555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524723",
            "telephone_number": "973-731-8050",
            "fax_number": "973-731-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NORTHFIELD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524723",
            "telephone_number": "973-731-8050",
            "fax_number": "973-731-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C WEISS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CONROD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "973-731-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA01963200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2625903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Echevarria
• Catalina Echeverry Taborda, MSN
• Daniel Marc Edelman, PSYD
• Arline Edmond, M.D.
• Francia Edquilag, MSN, NP-C
• Martha Edwards
• Sean Christopher Egan, M.D.
• Paul Ehrlich, MD
• Ahmed Eid, LSW
• Danielle Elyse Einsbruch

• Ophthalmology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.