Organization Active NPI

Martin N Weiner, MD PA

  • Psychiatry Physician
  • Fair Lawn, NJ
National Provider Identifier
1225113723
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA28876 Issued in NJ
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2792800MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.