Individual provider Active NPI

Katelyn P Weger, D.M.D

  • Dentist
  • Budd Lake, NJ
National Provider Identifier
1588016778
Registry record updated May 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02643900 Issued in NJ
Practice address
100 Village Green Shopping Ctr
Budd Lake, NJ 07828-1706
Phone
(908) 879-2634
NPI assigned
Jul 12, 2016
Last updated
May 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02643900 NJ Primary

Addresses

Primary practice location

100 Village Green Shopping Ctr
Budd Lake, NJ 07828-1706

Mailing address

100 Village Green Shopping Ctr Ste 13
Budd Lake, NJ 07828-1706
Phone (973) 347-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170410000646 PA Order and Referring Only - DentistPractitioner - Dentist 8325324189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02643900NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerome S Cohen DMD Steven H Schwartz DMD PA Dentist PastSince May 26, 2024 Accepting new patients
Center for Dental-Facial Aesthetics, LLC Past Accepting new patients

Organizations & group practices 2

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716076800000",
    "number": "1588016778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GREEN SHOPPING CTR STE 13",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281706",
            "telephone_number": "973-347-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GREEN SHOPPING CTR",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281706",
            "telephone_number": "908-879-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGER",
        "first_name": "KATELYN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02643900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Budd Lake, NJ

Sources for this page

Verify at the official NPI Registry.