Organization Active NPI

Marlboro Digestive Health PA

  • Gastroenterology Physician
  • Manalapan, NJ
National Provider Identifier
1124255906
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MARLBORO DIGESTIVE HEALTH PA
Practice address
50 Franklin LN
Suite 201
Manalapan, NJ 07726-2773
Phone
(732) 972-6996
Fax
(732) 972-8610
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Brian Weiner, MD
Title
Owner/ Medical Director
Phone
(732) 972-6996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X NJ Primary

Addresses

Primary practice location

50 Franklin LN
Suite 201
Manalapan, NJ 07726-2773

Mailing address

50 Franklin LN
Suite 201
Manalapan, NJ 07726-2773
Phone (732) 972-6996

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1124255906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FRANKLIN LN",
            "address_2": "SUITE 201",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262773",
            "telephone_number": "732-972-6996",
            "fax_number": "732-972-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FRANKLIN LN",
            "address_2": "SUITE 201",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077262773",
            "telephone_number": "732-972-6996",
            "fax_number": "732-972-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLBORO DIGESTIVE HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "732-972-6996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.