NPIMap

Individual provider Active NPI

Jonathan Dov Weinberger, M.D.

  • Gastroenterology Physician
  • Hackensack, NJ
National Provider Identifier
1851735419
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA11018400 Issued in NJ
Practice address
20 Prospect Ave Ste 707
Hackensack, NJ 07601-1963
Phone
(551) 996-3091
Fax
(551) 996-5727
NPI assigned
Apr 24, 2013
Last updated
Jan 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 300356 NY
Gastroenterology Physician 207RG0100X 25MA11018400 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 707
Hackensack, NJ 07601-1963

Mailing address

20 Prospect Ave Ste 707
Hackensack, NJ 07601-1963
Phone (551) 996-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191107001476 NY Practitioner - Internal MedicinePractitioner - Gastroenterology 9133463649 Reassigns benefits to 1 organization
I20220217000248 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 9133463649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

20 Prospect Ave
Suite 707
Hackensack, NJ 07601-1963
Phone (551) 996-3091

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Upper gastrointestinal (GI) endoscopy for acid reflux50

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 31, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 31, 2022 Accepting new patients
Manhattan Internal Medicine Associates, PC Gastroenterology CurrentSince Sep 1, 2019 Accepting new patients
Manhattan Anesthesia Services PC PastSince May 1, 2010 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Resource Anesthesiology Associates,PC Past Accepting new patients

Locations

20 Prospect Ave
Ste 707
Hackensack, NJ 07601
Phone (201) 488-2220

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

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

145 E 32nd St
#303
New York, NY 10016
Phone (212) 725-5300

145 E 32nd St
Fl 3
New York, NY 10016
Phone (212) 725-5300

145 E 32nd St
Ste 303
New York, NY 10016
Phone (212) 375-1065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: jonathan.weinberger@direct.hackensackmeridian.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1851735419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 707",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011963",
            "telephone_number": "551-996-3091",
            "fax_number": "551-996-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 707",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011963",
            "telephone_number": "551-996-3091",
            "fax_number": "551-996-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "JONATHAN",
        "middle_name": "DOV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "300356",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA11018400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.