Michael P Weingarten DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MB025957 Issued in NJ

Legal business name

MICHAEL P WEINGARTEN DO PA

Practice address

745 Highland Ave
Palmyra, NJ 08065-1922

Phone

(856) 829-4225

Fax

(856) 829-7016

NPI assigned

Feb 28, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael P. Weingarten, D.O.

Title

Direct Owner

Phone

(856) 829-4225

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Wendi Laws-Mobilio, D.O.

  • Family Medicine Physician
  • Cinnaminson, NJ
  • NPI 1275520579
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1790813145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 HIGHLAND AVE",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080651922",
            "telephone_number": "856-829-4225",
            "fax_number": "856-829-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 HIGHLAND AVE",
            "city": "PALMYRA",
            "state": "NJ",
            "postal_code": "080651922",
            "telephone_number": "856-829-4225",
            "fax_number": "856-829-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P WEINGARTEN DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WEINGARTEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "856-829-4225",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB025957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "F05065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P560037",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1130200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ELECTRONIC SUB ID#",
            "identifier": "4298684",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1099729",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON NETWORK",
            "identifier": "140759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB4187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0084811001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0084811001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson N Korman
• Tijuana Theresa Lane
• Liberation Fitness
• Kyle Anne Mattmuller, DDS
• Kristen Merchant, LPC
• Mark Stephen Napoliello, D.C.
• Fatima Naqvi
• Nutritional Wellness Center
• Palmyra Ambulance Assoc Inc (Palmyra Cinnaminson Riverton)
• Palmyra Borough School District

• Family Medicine Physician in Palmyra, NJ
• Providers in Palmyra, 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 Apr 20, 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.