Roger Allen Weiss, DC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

NYSIMEC042582B Issued in NY

Practice address

1 Bamboo Lane
Far Hills, NJ 07931

Phone

(917) 328-9274

Fax

(908) 470-0712

NPI assigned

Feb 22, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1801065016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAMBOO LANE",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "07931",
            "telephone_number": "917-328-9274",
            "fax_number": "908-470-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAMBOO LANE",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "07931",
            "telephone_number": "917-328-9274",
            "fax_number": "908-470-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ROGER",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0042581",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "NY",
            "license": "NYSIMEC042582B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS IME NUMBER",
            "identifier": "C042582B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NUMBER NY",
            "identifier": "X0042581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilia Rose Sochovka, MS, RDN, CPT
• Debra L. Sutton, NURSE PRACTITIONER
• Patricia Taveras, LCSW, LCADC
• United Clinical Group NJ
• Martin Bruce Wax, MD
• Alex Wieselman, M.A., ED.S
• Mary Zambito, LPC, LCADC
• ZRM Healthcare Services
• ZRM Healthcare Services

• Independent Medical Examiner Chiropractor in Far Hills, NJ
• Providers in Far Hills, NJ by specialty
• Independent Medical Examiner Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.