Individual provider Active NPI

Douglas Matthew Weine, M.D.

  • Gastroenterology Physician
  • Red Bank, NJ
National Provider Identifier
1336307305
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA08720600 Issued in NJ
Practice address
365 Broad St
Red Bank, NJ 07701-2150
Phone
(732) 842-4294
Fax
(732) 548-7408
NPI assigned
May 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 238902 NY
Gastroenterology Physician 207RG0100X 25MA08720600 NJ Primary

Addresses

Primary practice location

365 Broad St
Red Bank, NJ 07701-2150

Mailing address

365 Broad St
Red Bank, NJ 07701-2150
Phone (732) 842-4294

Other practice location 1

1 Riverview Plz
Red Bank, NJ 07701-1864
Phone (732) 741-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20100629000099 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 6709917164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hackensack Meridian Health Medical Group - Specialty Care PCGroup PAC ID 9133032519, 1,901 clinicians
Allied Digestive Health LLCGroup PAC ID 5991027583, 282 clinicians

Practice addresses (Care Compare)

1 Riverview PLZ
Red Bank, NJ 07701-1864
Phone (732) 264-1132

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

3600 Route 66
FL 3
Neptune, NJ 07753

60 State Route 36 a
West Long Branch, NJ 07764-1464
Phone (732) 222-9229

Hospital & facility affiliations

  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
238902NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Oct 1, 2024 Accepting new patients
Allied Digestive Health, LLC Gastroenterology CurrentSince Jan 1, 2015 Accepting new patients
Atlantic Coast Gastroenterology Associates Gastroenterology Past Accepting new patients

Locations

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

365 Broad St
Ste 1W
Red Bank, NJ 07701
Phone (732) 842-4294

365 Broad St
Red Bank, NJ 07701
Phone (732) 747-7077

1 Riverview Plz
Red Bank, NJ 07701
Phone (732) 530-2204

365 Broad St
Ste 1E
Red Bank, NJ 07701
Phone (732) 842-4294

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

60 State Route 36
Ste A
West Long Branch, NJ 07764
Phone (732) 222-9229

Interoperability endpoints

  • Direct secure messaging: douglas.weine.1@21847.direct.athenahealth.com
  • Direct secure messaging: douglas.weine.1@24721.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1336307305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012150",
            "telephone_number": "732-842-4294",
            "fax_number": "732-548-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012150",
            "telephone_number": "732-842-4294",
            "fax_number": "732-548-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Riverview Plz",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011864",
            "country_code": "US",
            "telephone_number": "732-741-2700",
            "fax_number": "732-398-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINE",
        "first_name": "DOUGLAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "238902",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA08720600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.