Individual provider Active NPI

Cynthia E Weber

  • Surgery Physician
  • Wayne, NJ
National Provider Identifier
1174750889
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA10686400 Issued in NJ
Practice address
1680 Route 23 Ste 180
Wayne, NJ 07470-7522
Phone
(800) 633-8446
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125056615 IL
Surgery Physician 208600000X 300793-01 NY
Surgery Physician 208600000X 35.133945 OH
Surgery Physician 208600000X 66644 WI
Surgery Physician 208600000X 25MA10686400 NJ Primary

Addresses

Primary practice location

1680 Route 23 Ste 180
Wayne, NJ 07470-7522

Mailing address

1680 Route 23 Ste 180
Wayne, NJ 07470-7522
Phone (800) 633-8446

Other practice location 1

2160 S 1st Ave
EMS 110, Room 3293
Maywood, IL 60153-3328
Phone (708) 327-3436

Other identifiers 1

IdentifierTypeStateIssuer
1174750889MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, OH, NJ, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170920002229 WI Practitioner - General Surgery 4688975956 Reassigns benefits to 1 organization
I20180918004144 OH Practitioner - General Surgery 4688975956 Reassigns benefits to 1 organization
I20191211001857 NJ Practitioner - General Surgery 4688975956 Reassigns benefits to 4 organizations
I20250123002899 NY Practitioner - General Surgery 4688975956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Bariatric New Jersey PCGroup PAC ID 1759635980, 19 clinicians
New York Bariatric Surgery Group PLLCGroup PAC ID 4981045432, 39 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians

Practice addresses (Care Compare)

1121 Route 22
Suite 203
Bridgewater, NJ 08807-2983
Phone (516) 616-5500

1345 Motor Pkwy
FL 1
Islandia, NY 11749-5208
Phone (516) 616-5500

1680 Route 23
Suite 180
Wayne, NJ 07470-7522
Phone (516) 616-5500

186 E 76TH St
1St Floor
New York, NY 10021-2822
Phone (212) 434-3285

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125056615ILMDSurgery Physician
300793-01NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Surgery CurrentSince Aug 1, 2017 Accepting new patients
University Hospitals Medical Group Inc Surgery CurrentSince Sep 1, 2018 Accepting new patients
Bergen County Improvement Authority CurrentSince Oct 26, 2022 Accepting new patients
New York Bariatric Surgery Group PLLC CurrentSince Nov 16, 2024 Accepting new patients
Bergen County Improvement Authority CurrentSince Oct 26, 2022 Accepting new patients
St Marys General Medical Group PC Surgery CurrentSince Jul 1, 2023 Accepting new patients
SMGH Physician Practice Management, LLC CurrentSince Jul 1, 2021 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 1, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Dec 1, 2024 Accepting new patients
Long Island Minimally Invasive Surgery, P.C. Past Accepting new patients
Lenox Hill Hospital Past Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations (25 of 36)

1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412

28 Gibson Blvd
Clark, NJ 07066

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

98 James St
Ste 103
Edison, NJ 08820
Phone (732) 662-5888

98 James St
Ste 212
Edison, NJ 08820
Phone (732) 548-1800

83 Hanover Rd
Ste 190
Florham Park, NJ 07932
Phone (973) 410-9700

230 Sherman Ave
Fl 2
Glen Ridge, NJ 07028
Phone (973) 750-0104

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

350 Boulevard
Ste 100
Passaic, NJ 07055

355 US Highway 22 E
Springfield, NJ 07081
Phone (908) 325-3000

197 Cedar Ln
Ste 2
Teaneck, NJ 07666
Phone (201) 591-9840

1680 State Route 23
Ste 180
Wayne, NJ 07470
Phone (484) 934-1070

3795 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (800) 633-8446

340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735

400 Westage Business Ctr Dr
Ste 105
Fishkill, NY 12524

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

1200 W Broadway
Ste 9
Hewlett, NY 11557
Phone (800) 633-8446

120 E Main St
Huntington, NY 11743
Phone (631) 300-2484

1345 Motor Pkwy
Fl 1
Islandia, NY 11749
Phone (631) 855-1200

496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200

233 W Route 59
Ste 103
Nanuet, NY 10954

646 Park Ave
New York, NY 10065
Phone (212) 249-0404

186 E 76th St
Fl 1
New York, NY 10021
Phone (212) 434-3285

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: cynthiaweber@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: cweber65762@northwell.direct-ci.com
  • Direct secure messaging: nybg.cynthiaweber@136202.advancedmd-direct.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1174750889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 180",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707522",
            "telephone_number": "800-633-8446",
            "fax_number": "414-454-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ROUTE 23 STE 180",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074707522",
            "telephone_number": "800-633-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 S 1st Ave",
            "address_2": "EMS 110, Room 3293",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-327-3436",
            "fax_number": "708-327-3489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER",
        "first_name": "CYNTHIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125056615",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "300793-01",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.133945",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "66644",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA10686400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174750889",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.