Active NPI
Josef M Weisgras, MD
- Internal Medicine Physician
- Bergenfield, NJ
National Provider Identifier
1700857463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA04435700
- Practice address
- 375 S Washington Ave
Bergenfield, NJ 07621 - Phone
- (201) 384-0036
- NPI assigned
- Jan 31, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04435700 | NJ | Primary |
Addresses
Primary practice location
375 S Washington Ave
Bergenfield, NJ 07621
Mailing address
12 Railroad Place
Belleville, NJ 07109
Phone (973) 759-8004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0400700 | Medicaid | NJ |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1700857463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 RAILROAD PLACE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "07109",
"telephone_number": "973-759-8004",
"fax_number": "973-759-7545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 S WASHINGTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "07621",
"telephone_number": "201-384-0036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISGRAS",
"first_name": "JOSEF",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04435700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0400700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bergenfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.