Tamara Weisman, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MB08893300 Issued in NJ

Practice address

14 Ridgedale Ave
Suite 103
Cedar Knolls, NJ 07927-1106

Phone

(973) 998-6181

Fax

(973) 629-1431

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

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.

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Postgraduate Center for Mental Health

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1629127725
  NPD (past)
• Service Program for Older People

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1831644657
  NPD (past)
• Service Program for Older People, Inc

  • Geriatric Psychiatry Physician
  • New York, NY
  • NPI 1740211143
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1922040617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RIDGEDALE AVE",
            "address_2": "SUITE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271106",
            "telephone_number": "973-998-6181",
            "fax_number": "973-629-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RIDGEDALE AVE",
            "address_2": "SUITE 103",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079271106",
            "telephone_number": "973-998-6181",
            "fax_number": "973-629-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB08893300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Wang, MD
• Shuwei Wang, M.D.
• Emily Wanyoike
• Kristina E Warchol, DPT
• Lindsay Waxman
• Santiago Wer Arrivillaga, MD
• Judeth F Wesley, RN, LCSW, LCADC
• Shannon White, DPT
• Barbara Susan Wieder, NP
• Edyta Wnek

• Psychiatry Physician in Cedar Knolls, NJ
• Providers in Cedar Knolls, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.