Frederick J Weisbrot, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

25MA03309600 Issued in NJ

Practice address

190 Eagle Rock Avenue
Roseland, NJ 07068-0393

Phone

(201) 997-2044

Fax

(201) 997-2041

NPI assigned

Mar 27, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Avenue Professional Services, PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newark, NJ
  • NPI 1447649694
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1164540019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "address_2": "190 EAGLE ROCK AVENUE",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070680393",
            "telephone_number": "201-997-2044",
            "fax_number": "201-997-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 EAGLE ROCK AVENUE",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070680393",
            "telephone_number": "201-997-2044",
            "fax_number": "201-997-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROT",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA03309600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3060403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Vider, MS, RDN
• Steven Alan Wahl, DPM
• Walgreen Co
• Melissa N Waton-Cohen, MT-BC
• Daniela Weinberger, M.D.
• West Essex Psychological Associates, LLC
• Ashley Wickert, APN
• Antonia Yanuzzi, MA, LPC, NCC
• Yimin Acupuncture Health Care LLC
• Zebra Care LLC

• Neurology Physician in Roseland, NJ
• Providers in Roseland, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.

Verify at the official NPI Registry.