Jack Sanford Weinstein, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA0021720 Issued in NJ

Practice address

96 New England Ave
#11
Summit, NJ 07901-1825

Phone

(732) 283-0073

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centerpath Wellness, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plainfield, NJ
  • NPI 1962459552
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124045612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 NEW ENGLAND AVE",
            "address_2": "SUITE 11",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011825",
            "telephone_number": "732-283-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 NEW ENGLAND AVE",
            "address_2": "#11",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079011825",
            "telephone_number": "732-283-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "JACK",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA0021720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elfie Wegner, RN P
• Weill Medical College of Cornell
• Jennifer Weiner, P.A.
• Joseph Paul Weiner, M.D.
• Lisa Michelle Weinman, M.S.,P.T.
• James F Weiss, PHD
• Shannon B Welch, PT, DPT
• Well BL Opco LLC
• Well BL Portfolio 1 Opco LLC
• John Andrew Werring, M.D.

• Psychiatry Physician in Summit, NJ
• Providers in Summit, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.