Individual provider Active NPI

Howard Welt, M.D.

  • Diagnostic Radiology Physician
  • Spring Lake, NJ
National Provider Identifier
1689765273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA02704100 Issued in NJ
Practice address
105 Salem Ave
Spring Lake, NJ 07762-1039
Phone
(732) 449-3929
Fax
(732) 449-3929
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA02704100 NJ Primary

Addresses

Primary practice location

105 Salem Ave
Spring Lake, NJ 07762-1039

Mailing address

105 Salem Ave
Spring Lake, NJ 07762-1039

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
I20150921001368 NJ Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 7618284878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02704100NJMDDiagnostic Radiology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689765273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SALEM AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SALEM AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621039",
            "telephone_number": "732-449-3929",
            "fax_number": "732-449-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELT",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA02704100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NJ

Sources for this page

Verify at the official NPI Registry.