Individual provider Active NPI

Gabriella Antionette Weiss, MD

  • Infectious Disease Physician
  • Clifton, NJ
National Provider Identifier
1558437251
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA42491 Issued in NJ
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1713001MedicaidNJ

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
I20060118000466 NJ Practitioner - Internal MedicinePractitioner - Infectious Disease 9830113794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
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

LicenseStateTypeSpecialty
MA42491NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialties of New Jersey PA Infectious Disease CurrentSince Jan 1, 1989 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.