Individual provider Active NPI

Saul Weiner, DDS

  • Prosthodontics
  • Newark, NJ
National Provider Identifier
1154387405
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
D510250 Issued in NJ
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629000811 NJ Order and Referring Only - DentistPractitioner - Dentist 6406168863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D510250NJMDProsthodontist

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

Verify at the official NPI Registry.