Active NPI
Fred Weber, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Somers Point, NJ
National Provider Identifier
1760468359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MA03153800
- Practice address
- 10 W Connecticut Ave
Somers Point, NJ 08244-1975 - Phone
- (609) 927-7300
- Fax
- (609) 927-0300
- NPI assigned
- Dec 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MA03153800 | NJ | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MA03153800 | NJ | Primary |
Addresses
Primary practice location
10 W Connecticut Ave
Somers Point, NJ 08244-1975
Mailing address
PO Box 111
Somers Point, NJ 08244-0111
Phone (609) 927-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3420701 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA03153800 | NJ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1760468359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082440111",
"telephone_number": "609-927-7300",
"fax_number": "609-927-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W CONNECTICUT AVE",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082441975",
"telephone_number": "609-927-7300",
"fax_number": "609-927-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "FRED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "MA03153800",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NJ",
"license": "MA03153800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3420701",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.