Individual provider Active NPI

Eric Weinberg, D.M.D.

  • Endodontics
  • Cranford, NJ
National Provider Identifier
1104231638
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22DI02591200 Issued in NJ
Practice address
300 North Ave E
Cranford, NJ 07016-2488
Phone
(908) 276-7773
Fax
(908) 276-5522
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 22DI02591200 NJ Primary

Addresses

Primary practice location

300 North Ave E
Cranford, NJ 07016-2488

Mailing address

300 North Ave E
Cranford, NJ 07016-2488
Phone (908) 276-7773

Other practice location 1

300 North Ave E
Cranford, NJ 07016-2488
Phone (908) 276-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 15, 2018 through Nov 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02591200NJMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1104231638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162488",
            "telephone_number": "908-276-7773",
            "fax_number": "908-276-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162488",
            "telephone_number": "908-276-7773",
            "fax_number": "908-276-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 North Ave E",
            "address_purpose": "LOCATION",
            "city": "Cranford",
            "state": "NJ",
            "postal_code": "070162488",
            "country_code": "US",
            "telephone_number": "908-276-7773",
            "fax_number": "908-276-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02591200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.