Mordecai Wertheim, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA04466800 Issued in NJ

Practice address

321 Summit Ave
Hackensack, NJ 07601-1429

Phone

(646) 251-1112

NPI assigned

Apr 2, 2007

Last updated

Dec 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Jersey Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Carteret, NJ
  • NPI 1932974250
  NPD (past)
• Central Jersey Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1710199468
  NPD (past)
• Comprehensive Healhtcare and Medical Services PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1427030899
  NPD (past)
• New York Medical and Cardiovascular Services, PC

  • Pulmonary Disease Physician
  • Brooklyn, NY
  • NPI 1235432410

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356393600000",
    "number": "1518088202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 15TH ST",
            "address_2": "APT 17 E",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070241950",
            "telephone_number": "646-251-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SUMMIT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011429",
            "telephone_number": "646-251-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTHEIM",
        "first_name": "MORDECAI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "156339-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04466800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Wellman, APN
• Wellness First Nurse Practitioner in Psychiatric LLC
• Erin Doherty Welsh, PA-C
• Perry Wengrofsky
• Catherine Anne Wenz, DNP, AGAC-NP
• West Shore Nursing & Rehabilitation, LLC (Kadima Rehabilitation & Nursing at West Shore)
• Pepukayi West, LDT-C
• Rachel Jayne Wheaton
• Paige Marie Whelan
• Brianna N White, LSW

• Internal Medicine Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2012; 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.