Individual provider Active NPI

Jason Weber, DC, DACRB

  • Rehabilitation Chiropractor
  • Saddle Brook, NJ
National Provider Identifier
1972519254
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
MC005732 Issued in NJ
Practice address
480 Market St Ste 1
Saddle Brook, NJ 07663-5932
Phone
(201) 843-8300
Fax
(201) 843-7833
NPI assigned
Jul 31, 2006
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC005732 NJ
Rehabilitation Chiropractor 111NR0400X MC005732 NJ Primary

Addresses

Primary practice location

480 Market St Ste 1
Saddle Brook, NJ 07663-5932

Mailing address

480 Market St Ste 1
Saddle Brook, NJ 07663-5932
Phone (201) 843-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001468 NJ Practitioner - Chiropractic 2163419300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

480 Market St
Suite 1
Saddlebrook, NJ 07663-5932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC005732NJMDChiropractor
009572NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Jersey Spine and Sports, PC Chiropractor CurrentSince Nov 6, 2000 Accepting new patients

Locations

444 Market St
Saddle Brook, NJ 07663
Phone (201) 843-8824

444 Market St
Ste 5
Saddle Brook, NJ 07663
Phone (201) 843-8300

480 Market St
Ste 1
Saddle Brook, NJ 07663
Phone (201) 843-3444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1972519254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MARKET ST STE 1",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635932",
            "telephone_number": "201-843-8300",
            "fax_number": "201-843-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MARKET ST STE 1",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635932",
            "telephone_number": "201-843-8300",
            "fax_number": "201-843-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DC, DACRB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005732",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "MC005732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.