Individual provider Active NPI

Emmanuel Michael Weiss, MD

  • Cardiovascular Disease Physician
  • Clifton, NJ
National Provider Identifier
1538226360
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA39573 Issued in NJ
Practice address
842 Clifton Ave
Suite 5
Clifton, NJ 07013-1800
Phone
(973) 777-2440
Fax
(973) 777-2427
NPI assigned
Jan 2, 2007
Last updated
May 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MA39573 NJ Primary

Addresses

Primary practice location

842 Clifton Ave
Suite 5
Clifton, NJ 07013-1800

Mailing address

842 Clifton Ave
Ste 5
Clifton, NJ 07013-1800
Phone (973) 777-8515

Other identifiers 1

IdentifierTypeStateIssuer
1141601MedicaidNJ

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
I20050920000232 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8426082405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

842 Clifton Ave
Suite 5
Clifton, NJ 07013-1800
Phone (973) 777-2440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA39573NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiacare Center PC Cardiovascular Disease CurrentSince Jan 1, 1989 Accepting new patients
GHCP Ekg Interpretation Panel, LLC CurrentSince Dec 11, 2001 Accepting new patients

Locations

842 Clifton Ave
Clifton, NJ 07013
Phone (201) 777-2440

842 Clifton Ave
Ste 5
Clifton, NJ 07013
Phone (973) 777-2440

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

Interoperability endpoints

  • Direct secure messaging: cardiacare.michaelweiss@135257.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1538226360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 CLIFTON AVE",
            "address_2": "STE 5",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131800",
            "telephone_number": "973-777-8515",
            "fax_number": "973-777-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 CLIFTON AVE",
            "address_2": "SUITE 5",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131800",
            "telephone_number": "973-777-2440",
            "fax_number": "973-777-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "EMMANUEL",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA39573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.