Individual provider Active NPI

Renee G Weslow, M.D.

  • Internal Medicine Physician
  • Norwood, NJ
National Provider Identifier
1932134608
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06467400 Issued in NJ
Practice address
425 Livingston St
Suite #1
Norwood, NJ 07648-1821
Phone
(201) 784-0071
Fax
(207) 784-2662
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06467400 NJ Primary

Addresses

Primary practice location

425 Livingston St
Suite #1
Norwood, NJ 07648-1821

Mailing address

425 Livingston St
Suite #1
Norwood, NJ 07648-1821
Phone (201) 784-0071

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
I20040225000458 NJ Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 6103712344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Dewolf Rd
Suite 209
Old Tappan, NJ 07675-7084
Phone (201) 784-0071

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Weslow MD PA CurrentSince Apr 30, 2003 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Internal Medicine Past Accepting new patients

Locations

425 Livingston St
Ste 1
Norwood, NJ 07648
Phone (201) 784-0071

1 Dewolf Rd
Ste 209
Old Tappan, NJ 07675
Phone (201) 784-0071

Organizations & group practices 2

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 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1932134608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LIVINGSTON ST",
            "address_2": "SUITE #1",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481821",
            "telephone_number": "201-784-0071",
            "fax_number": "207-784-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LIVINGSTON ST",
            "address_2": "SUITE #1",
            "city": "NORWOOD",
            "state": "NJ",
            "postal_code": "076481821",
            "telephone_number": "201-784-0071",
            "fax_number": "207-784-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLOW",
        "first_name": "RENEE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06467400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, NJ

Sources for this page

Verify at the official NPI Registry.