Individual provider Active NPI

Renata V Weber, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Rutherford, NJ
National Provider Identifier
1790855815
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
25MA08986200 Issued in NJ
Practice address
201 Route 17
11TH Floor, Room 11056
Rutherford, NJ 07070-2574
Phone
(201) 549-8860
Fax
(201) 549-8861
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 212534 NY
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 25MA08986200 NJ Primary

Addresses

Primary practice location

201 Route 17
11TH Floor, Room 11056
Rutherford, NJ 07070-2574

Mailing address

201 Route 17
11TH Floor, Room 11056
Rutherford, NJ 07070-2574
Phone (201) 549-8860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000369 NJ Practitioner - Plastic and Reconstructive Surgery 3678537016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 Passaic Ave
Suite 575
Clifton, NJ 07012-1873
Phone (201) 549-8860

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08986200NJMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Feb 1, 2022 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Feb 1, 2022 Accepting new patients
Washington University Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

Interoperability endpoints

  • Direct secure messaging: rweber191175@ahs.direct-ci.com
  • Direct secure messaging: renata.weber@direct.christhospital.md

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1790855815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17",
            "address_2": "11TH FLOOR, ROOM 11056",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702574",
            "telephone_number": "201-549-8860",
            "fax_number": "201-549-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17",
            "address_2": "11TH FLOOR, ROOM 11056",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702574",
            "telephone_number": "201-549-8860",
            "fax_number": "201-549-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "RENATA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "212534",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NJ",
            "license": "25MA08986200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.