Active NPI
Medical Specialties of New Jersey PA
- Infectious Disease Physician
- Clifton, NJ
National Provider Identifier
1578698700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MA42491
- Legal business name
- MEDICAL SPECIALTIES OF NEW JERSEY PA
- Practice address
- 842 Clifton Ave
Suite 4
Clifton, NJ 07013-1800 - Phone
- (973) 777-2440
- NPI assigned
- Feb 21, 2007
- Last updated
- Sep 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gabriella Antoinette Weiss, MD
- Title
- Owner
- Phone
- (973) 777-4433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MA42491 | NJ | Primary |
Addresses
Primary practice location
842 Clifton Ave
Suite 4
Clifton, NJ 07013-1800
Mailing address
842 Clifton Ave
Suite 4
Clifton, NJ 07013-1800
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
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
842 Clifton Ave
Ste 4
Clifton, NJ 07013
Phone (973) 777-2440
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Clifton, NJ
- NPI 1558437251
-
- Hospitalist Physician
- Passaic, NJ
- NPI 1215215835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222214400000",
"number": "1578698700",
"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": "070131800",
"telephone_number": "973-777-2440"
},
{
"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": "070131800",
"telephone_number": "973-777-2440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SPECIALTIES OF NEW JERSEY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-09-24",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "GABRIELLA",
"authorized_official_middle_name": "ANTOINETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-777-4433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY 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 Sep 24, 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.