Individual provider Active NPI

Warren Finkelstein, M.D.

  • Gastroenterology Physician
  • Glen Ridge, NJ
National Provider Identifier
1376543223
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA33168 Issued in NJ
Practice address
123 Highland Ave
Suite 103
Glen Ridge, NJ 07028-1527
Phone
(973) 429-8800
Fax
(973) 748-7076
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA33168 NJ Primary

Addresses

Primary practice location

123 Highland Ave
Suite 103
Glen Ridge, NJ 07028-1527

Mailing address

123 Highland Ave
Suite 103
Glen Ridge, NJ 07028-1527
Phone (973) 429-8800

Other identifiers 2

IdentifierTypeStateIssuer
222971684OtherNJHORIZON BC/BS NJ
343551OtherNJWELL CHOICE

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
I20200123002548 NJ Order and Referring Only - GastroenterologyPractitioner - Gastroenterology 3870562051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA33168NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Endoscopy Center, LLC PastSince Mar 1, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wfinkelstein188771@ahs.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1376543223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE 103",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-429-8800",
            "fax_number": "973-748-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HIGHLAND AVE",
            "address_2": "SUITE 103",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281527",
            "telephone_number": "973-429-8800",
            "fax_number": "973-748-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINKELSTEIN",
        "first_name": "WARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA33168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC/BS NJ",
            "identifier": "222971684",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CHOICE",
            "identifier": "343551",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.