Active NPI
Martin N Weiner, MD PA
- Psychiatry Physician
- Fair Lawn, NJ
National Provider Identifier
1225113723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MA28876
- Legal business name
- MARTIN N WEINER, MD PA
- Practice address
- 4-14 Saddle River Rd
Suite #203
Fair Lawn, NJ 07410-5632 - Phone
- (201) 796-5352
- Fax
- (201) 797-6089
- NPI assigned
- Oct 25, 2006
- Last updated
- Nov 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin N Weiner, MD
- Title
- Provider
- Phone
- (201) 796-5352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MA28876 | NJ | Primary |
Addresses
Primary practice location
4-14 Saddle River Rd
Suite #203
Fair Lawn, NJ 07410-5632
Mailing address
4-14 Saddle River Rd
Suite #203
Fair Lawn, NJ 07410-5632
Phone (201) 796-5352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2792800 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
4-14 Saddle River Rd
Ste 203
Fair Lawn, NJ 07410
Phone (201) 796-5352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289433600000",
"number": "1225113723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4-14 SADDLE RIVER RD",
"address_2": "SUITE #203",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105632",
"telephone_number": "201-796-5352",
"fax_number": "201-797-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4-14 SADDLE RIVER RD",
"address_2": "SUITE #203",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074105632",
"telephone_number": "201-796-5352",
"fax_number": "201-797-6089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN N WEINER, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2010-11-11",
"status": "A",
"authorized_official_last_name": "WEINER",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "201-796-5352",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "MA28876",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2792800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Lawn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.