Individual provider Active NPI

Alan Welt, MD

  • Obstetrics & Gynecology Physician
  • Manasquan, NJ
National Provider Identifier
1699854364
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA03509800 Issued in NJ
Practice address
2671 Highway 70
Manasquan, NJ 08736-2605
Phone
(732) 528-6999
Fax
(732) 528-3397
NPI assigned
Nov 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Obstetrics & Gynecology Physician 207V00000X 25MA03509800 NJ Primary

Addresses

Primary practice location

2671 Highway 70
Manasquan, NJ 08736-2605

Mailing address

2671 Highway 70
Manasquan, NJ 08736-2605
Phone (732) 528-6999

Other identifiers 1

IdentifierTypeStateIssuer
1645803MedicaidNJ

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
I20040317000053 NJ Practitioner - Obstetrics/Gynecology 9739078023

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699854364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 HIGHWAY 70",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362605",
            "telephone_number": "732-528-6999",
            "fax_number": "732-528-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 HIGHWAY 70",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087362605",
            "telephone_number": "732-528-6999",
            "fax_number": "732-528-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELT",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA03509800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1645803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.