Active NPI
Saul Weiner, DDS
- Prosthodontics
- Newark, NJ
National Provider Identifier
1154387405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- D510250
- Practice address
- 110 Bergen Street Suite 7700
Center Dental Oral Health Doctors Office Center
Newark, NJ 07101 - Phone
- (973) 972-2444
- Fax
- (973) 972-2441
- NPI assigned
- Apr 25, 2006
- Last updated
- May 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | D510250 | NJ | Primary |
Addresses
Primary practice location
110 Bergen Street Suite 7700
Center Dental Oral Health Doctors Office Center
Newark, NJ 07101
Mailing address
110 Bergen Street
New Jersey Dental School Room D830
Newark, NJ 07101
Phone (973) 972-4615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629000811 | NJ | Order and Referring Only - Dentist | 6406168863 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D510250 | NJ | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1154387405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BERGEN STREET",
"address_2": "NEW JERSEY DENTAL SCHOOL ROOM D830",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07101",
"telephone_number": "973-972-4615",
"fax_number": "973-972-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BERGEN STREET SUITE 7700",
"address_2": "CENTER DENTAL ORAL HEALTH DOCTORS OFFICE CENTER",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07101",
"telephone_number": "973-972-2444",
"fax_number": "973-972-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "SAUL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "D510250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.