Active NPI
Gary Edward Weber, DDS
- Dentist
- Matawan, NJ
National Provider Identifier
1568557403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15922
- Practice address
- 740 Hwy 34
Suite a
Matawan, NJ 07747-6613 - Phone
- (732) 583-8009
- Fax
- (732) 583-6969
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15922 | NJ | Primary |
Addresses
Primary practice location
740 Hwy 34
Suite a
Matawan, NJ 07747-6613
Mailing address
740 Hwy 34
Suite a
Matawan, NJ 07747-6613
Phone (732) 583-8009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15922 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VR Dental PC | Past | Accepting new patients |
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568557403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 HWY 34",
"address_2": "SUITE A",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077476613",
"telephone_number": "732-583-8009",
"fax_number": "732-583-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 HWY 34",
"address_2": "SUITE A",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077476613",
"telephone_number": "732-583-8009",
"fax_number": "732-583-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "GARY",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "15922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.