Renee Weslow MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA64674 Issued in NJ

Legal business name

RENEE WESLOW MD PA

Practice address

425 Livingston St
Suite # 1
Norwood, NJ 07648-1821

Phone

(201) 784-0071

Fax

(201) 784-2662

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Renee G Weslow, M.D.NPI 1932134608

Title

President

Phone

(201) 784-0071

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee G Weslow, M.D.

  • Internal Medicine Physician
  • Norwood, NJ
  • NPI 1932134608
  Medicare reassignment NPD Authorized official
• Natacha Esber, MD

  • Internal Medicine Physician
  • Westwood, NJ
  • NPI 1568626836
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1548429020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LIVINGSTON ST",
            "address_2": "SUITE # 1",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481821",
            "telephone_number": "201-784-0071",
            "fax_number": "201-784-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LIVINGSTON ST",
            "address_2": "SUITE # 1",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481821",
            "telephone_number": "201-784-0071",
            "fax_number": "201-784-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE WESLOW MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "WESLOW",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-784-0071",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "MA64674",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA64674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Refine Dental Care
• Marisa Rhein, RN, IBCLC
• Samantha Female Ripps-Palacios
• Chu Y Ryu, DDS
• Nancy A Saccoccio, OTR/L
• Charles James Schiano, LSW

• Primary Care Clinic/Center in Norwood, NJ
• Providers in Norwood, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.