Individual provider Active NPI

Michael P Weis, PT

  • Physical Therapist
  • West Orange, NJ
National Provider Identifier
1770592305
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00550800 Issued in NJ
Practice address
1500 Pleasant Valley Way
Suite 102
West Orange, NJ 07052-2956
Phone
(973) 325-3422
Fax
(973) 325-0825
NPI assigned
Aug 5, 2006
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00550800 NJ Primary

Addresses

Primary practice location

1500 Pleasant Valley Way
Suite 102
West Orange, NJ 07052-2956

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792
Phone (732) 807-0877

Other practice location 1

650 From Rd Ste 420
Paramus, NJ 07652-3551
Phone (201) 639-6620

Other practice location 2

795 Franklin Ave
Franklin Lakes, NJ 07417-1368
Phone (201) 639-6620

Other practice location 3

50 Craig Rd
Montvale, NJ 07645-1709
Phone (201) 639-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000775 NJ Practitioner - Physical Therapist in Private Practice 3173422318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

524 Williamstown Rd
Sicklerville, NJ 08081-1800
Phone (856) 516-0593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 16, 2024 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Feb 1, 2021 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 16, 2024 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince May 1, 2017 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Feb 1, 2021 Accepting new patients

Locations

795 Franklin Ave
Franklin Lks, NJ 07417
Phone (201) 639-6620

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546

1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424

50 Craig Rd
Montvale, NJ 07645
Phone (201) 639-6620

650 From Rd
Ste 420
Paramus, NJ 07652
Phone (201) 639-6620

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0880

524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564

524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591

68 River Rd
Summit, NJ 07901
Phone (908) 277-0800

1500 Pleasant Valley Way
West Orange, NJ 07052
Phone (973) 325-3422

1500 Pleasant Valley Way
Ste 102
West Orange, NJ 07052
Phone (973) 325-3422

576 Broadhollow Rd
Melville, NY 11747

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1770592305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015792",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PLEASANT VALLEY WAY",
            "address_2": "SUITE 102",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522956",
            "telephone_number": "973-325-3422",
            "fax_number": "973-325-0825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 From Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076523551",
            "country_code": "US",
            "telephone_number": "201-639-6620",
            "fax_number": "201-972-8980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "795 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin Lakes",
            "state": "NJ",
            "postal_code": "074171368",
            "country_code": "US",
            "telephone_number": "201-639-6620",
            "fax_number": "201-972-8975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Craig Rd",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076451709",
            "country_code": "US",
            "telephone_number": "201-639-6620",
            "fax_number": "201-972-8980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIS",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00550800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.