Active NPI
Darryl S Weiss, M.D.
- Dermatology Physician
- Fair Lawn, NJ
National Provider Identifier
1306836309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 25MA05416700
- Practice address
- 23-00 Route 208
Fair Lawn, NJ 07410-1559 - Phone
- (201) 797-7770
- Fax
- (201) 797-1660
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25MA05416700 | NJ | Primary |
Addresses
Primary practice location
23-00 Route 208
Fair Lawn, NJ 07410-1559
Mailing address
23-00 Route 208
Fair Lawn, NJ 07410-1559
Phone (201) 797-7770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dermatology Group | Dermatology | Past | Accepting new patients |
| Pathology Medical Laboratories | Past | Accepting new patients |
Interoperability endpoints
- darryl.weiss@schweigerderm.emadirect.md
Organizations & group practices 2
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.
-
- Dermatology Physician
- West Orange, NJ
- NPI 1962428474
-
- Clinical Medical Laboratory
- Leesburg, FL
- NPI 1003896853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1306836309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23-00 ROUTE 208",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101559",
"telephone_number": "201-797-7770",
"fax_number": "201-797-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23-00 ROUTE 208",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101559",
"telephone_number": "201-797-7770",
"fax_number": "201-797-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "DARRYL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NJ",
"license": "25MA05416700",
"primary": true
}
],
"identifiers": [],
"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 Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.