Physician'S Weightloss, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHYSICIAN'S WEIGHTLOSS, PC

Practice address

326 US Highway 22 Ste 10B
Green Brook, NJ 08812-1713

Phone

(732) 624-9797

Fax

(732) 624-9798

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Michael Greenstein

Title

Secretary

Phone

(732) 624-9797

Specialties & licenses 1

Addresses

Other names 1

• Medi-Weightloss Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cassandra Lee Konecny, NP

  • Nurse Practitioner
  • Green Brook, NJ
  • NPI 1881243665

  Single Specialty

  NPD (past)
• Ruppert A. Hawes, M.D.

  • Family Medicine Physician
  • Oak Bluffs, MA
  • NPI 1982655320
  NPD (past)

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1760948012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 US HIGHWAY 22 STE 10B",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121713",
            "telephone_number": "732-624-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 US HIGHWAY 22 STE 10B",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121713",
            "telephone_number": "732-624-9797",
            "fax_number": "732-624-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S WEIGHTLOSS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "GREENSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "732-624-9797"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medi-Weightloss",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medi-Weightloss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sebastian Pawel Opar, PA-C
• Chinenye Angela Opara
• Karishma Patel
• Performance Medical Group
• Dennis Petrini, DMD
• Marissa Bari Pilitzer, PA-C
• John Dominick Pilla, MD
• Israel R Plasner, O.D.
• Podiatry Associates of New Jersey LLC
• Paul J Popeck, DO

• Family Medicine Physician in Green Brook, NJ
• Providers in Green Brook, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.