Individual provider Active NPI

Michelle Lynne McWeeney, PA-C

  • Medical Physician Assistant
  • New Brunswick, NJ
National Provider Identifier
1851491625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
NJ MP504 Issued in NJ
Practice address
24 Abeel Street
New Brunswick, NJ 08901
Phone
(732) 745-9800
Fax
(732) 745-9107
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NJ MP504 NJ Primary

Addresses

Primary practice location

24 Abeel Street
New Brunswick, NJ 08901

Mailing address

135 Brittany CT
Clifton, NJ 07013-2674
Phone (973) 837-8814

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081124000459 NJ Practitioner - Physician Assistant 3870653637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians

Practice addresses (Care Compare)

1500 Alps Rd
Wayne, NJ 07470-3635
Phone (973) 628-8500

22 -02 Broadway
Fair Lawn, NJ 07410-3016

24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
NJ MP504NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Diocese of Metuchen Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.mcweeney@direct.carepointhealth.org
  • Direct secure messaging: mmcweeney236821@direct.englewoodhealth.org

Organizations & group practices 3

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 4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851491625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BRITTANY CT",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132674",
            "telephone_number": "973-837-8814",
            "fax_number": "732-745-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ABEEL STREET",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-745-9800",
            "fax_number": "732-745-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWEENEY",
        "first_name": "MICHELLE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "NJ MP504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.