Individual provider Active NPI

Mark Weinstein, D.C., R.PH.

  • Chiropractor
  • East Brunswick, NJ
National Provider Identifier
1073506689
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MCO4017 Issued in NJ
Practice address
4 Cornwall Dr
Suite #204
East Brunswick, NJ 08816-3332
Phone
(732) 651-8880
Fax
(732) 651-0999
NPI assigned
Aug 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MCO4017 NJ Primary

Addresses

Primary practice location

4 Cornwall Dr
Suite #204
East Brunswick, NJ 08816-3332

Mailing address

4 Cornwall Dr
Suite #204
East Brunswick, NJ 08816-3332
Phone (732) 651-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031226000263 NJ Practitioner - Chiropractic 7113825241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Cornwall Dr
Suite 204
East Brunswick, NJ 08816-3332
Phone (732) 651-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
MCO4017NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Health Professionals PC Chiropractor CurrentSince May 29, 1992 Accepting new patients

Locations

4 Cornwall Dr
Ste 204
East Brunswick, NJ 08816
Phone (732) 651-8880

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.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073506689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CORNWALL DR",
            "address_2": "SUITE #204",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163332",
            "telephone_number": "732-651-8880",
            "fax_number": "732-651-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CORNWALL DR",
            "address_2": "SUITE #204",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088163332",
            "telephone_number": "732-651-8880",
            "fax_number": "732-651-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "MARK",
        "credential": "D.C., R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.