Active NPI
Gabriella Antionette Weiss, MD
- Infectious Disease Physician
- Clifton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MA42491
- Practice address
- 842 Clifton Ave
Suite #4
Clifton, NJ 07013 - Phone
- (973) 777-2440
- Fax
- (973) 777-2427
- NPI assigned
- Nov 27, 2006
- Last updated
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MA42491 | NJ | |
| Infectious Disease Physician | 207RI0200X | MA42491 | NJ | Primary |
Addresses
Primary practice location
842 Clifton Ave
Suite #4
Clifton, NJ 07013
Mailing address
842 Clifton Ave
Suite #4
Clifton, NJ 07013
Phone (973) 777-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1713001 | Medicaid | NJ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
842 Clifton Ave
Suite 5
Clifton, NJ 07013-1800
Phone (973) 777-2440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA42491 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialties of New Jersey PA | Infectious Disease | Current | Accepting new patients |
Locations
842 Clifton Ave
Ste 4
Clifton, NJ 07013
Phone (973) 777-2440
842 Clifton Ave
Ste 5
Clifton, NJ 07013
Phone (973) 777-2440
Interoperability endpoints
- cardiacare.gabriellaweiss@135257.advancedmd-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Infectious Disease Physician
- Clifton, NJ
- NPI 1578698700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1558437251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 CLIFTON AVE",
"address_2": "SUITE #4",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07013",
"telephone_number": "973-777-2440",
"fax_number": "973-777-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 CLIFTON AVE",
"address_2": "SUITE #4",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07013",
"telephone_number": "973-777-2440",
"fax_number": "973-777-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "GABRIELLA",
"middle_name": "ANTIONETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MA42491",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NJ",
"license": "MA42491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1713001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.