Barry Weiner MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MA02569800 Issued in NJ

Legal business name

BARRY WEINER MD PA

Practice address

107 Pacific Ave
Jersey City, NJ 07304-3716

Phone

(201) 434-0008

Fax

(551) 580-7158

NPI assigned

Nov 22, 2010

Last updated

Nov 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan C Jewell

Title

Office Manager

Phone

(201) 434-0008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1326340597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107-123 PACIFIC AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043716",
            "telephone_number": "201-434-0008",
            "fax_number": "551-580-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PACIFIC AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043716",
            "telephone_number": "201-434-0008",
            "fax_number": "551-580-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY WEINER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-434-0008",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA02569800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mitchell A Baruchin, M.D.
• Amanda Leigh Barysh, PA-C
• Jessica Barzola

• Nephrology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.