Organization Active NPI

Frederick M Weintraub

Doing business as alpine/northernvalley podiatry

  • Foot & Ankle Surgery Podiatrist
  • Northvale, NJ
National Provider Identifier
1710148200
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00178500 Issued in NJ
Legal business name
FREDERICK M WEINTRAUB
Doing business as
alpine/northernvalley podiatry
Practice address
153 Paris Ave Ste a
Northvale, NJ 07647-2054
Phone
(201) 784-1828
Fax
(201) 784-1611
NPI assigned
Jun 18, 2008
Last updated
Jun 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2008

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

Authorized official

Name
Dr. Frederick M Weintraub, DPM
Title
President
Phone
(201) 784-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00178500 NJ Primary

Addresses

Primary practice location

153 Paris Ave Ste a
Northvale, NJ 07647-2054

Mailing address

153 Paris Ave Ste a
Northvale, NJ 07647-2054
Phone (201) 784-1828

Other names 1

  • alpine/northernvalley podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

153 Paris Ave
Ste A
Northvale, NJ 07647
Phone (201) 784-1828

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1710148200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 PARIS AVE STE A",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076472054",
            "telephone_number": "201-784-1828",
            "fax_number": "201-784-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 PARIS AVE STE A",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076472054",
            "telephone_number": "201-784-1828",
            "fax_number": "201-784-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK M WEINTRAUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-784-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00178500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "alpine/northernvalley podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.