Marvin Joseph Weniger Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101267420 Issued in VA

Practice address

BLDG #50, Farenholt Ave.
Agana Heights, GU 96910

Phone

(671) 344-9401

NPI assigned

Jan 25, 2018

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

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1306344304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG #50, FARENHOLT AVE.",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG #50, FARENHOLT AVE.",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "96910",
            "telephone_number": "671-344-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENIGER",
        "first_name": "MARVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101267420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Walerysiak, PA-C
• Grant Michael Wallenfelsz, MD
• Amanda Elizabeth Waller, DO
• Callie Watanabe, MD
• Yuning Weber, DMD
• Terry S. West, DDS
• Amanda Louise Wilder, MD
• Thomas E Williams, PA
• Mallori Marie Wilson
• Amanda Lynne Wojahn, MD

• Psychiatry Physician in Agana Heights, GU
• Providers in Agana Heights, GU by specialty
• Psychiatry Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.