Active NPI
Mark R. Weinstock, DPM, CWS
- Podiatrist
- Maywood, NJ
National Provider Identifier
1992709430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 25MD00199400
- Practice address
- 240 W Passaic St
Suite 4
Maywood, NJ 07607-1264 - Phone
- (201) 880-6000
- Fax
- (201) 880-5999
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NOO4606 | NY | |
| Podiatrist | 213E00000X | 25MD00199400 | NJ | Primary |
| Podiatrist | 213E00000X | PD1985 | MA | |
| Podiatrist | 213E00000X | 5901002193 | MI |
Addresses
Primary practice location
240 W Passaic St
Suite 4
Maywood, NJ 07607-1264
Mailing address
240 W Passaic St
Ste 4
Maywood, NJ 07607-1264
Phone (201) 880-6000
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050609000207 | NJ | Practitioner - Podiatry | 4486648755 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD1985 | MA | MD | Podiatrist |
| 5901002193 | MI | MD | Podiatrist |
| NOO4606 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Foot Care Specialists | Podiatrist | Current | Accepting new patients |
| Broadway Foot and Ankle Ctr PA | Podiatrist | Past | Accepting new patients |
| R.Y. FNP Professional Corporation | Past | Accepting new patients |
Locations
240 W Passaic St
Ste 4
Maywood, NJ 07607
Phone (201) 880-6000
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Foot & Ankle Surgery Podiatrist
- Elmwood Park, NJ
- NPI 1437106689
Podiatrist
-
- Nurse Practitioner
- Hackensack, NJ
- NPI 1174339287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1992709430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W PASSAIC ST",
"address_2": "STE 4",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071264",
"telephone_number": "201-880-6000",
"fax_number": "201-880-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W PASSAIC ST",
"address_2": "SUITE 4",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071264",
"telephone_number": "201-880-6000",
"fax_number": "201-880-5999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINSTOCK",
"first_name": "MARK",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DPM, CWS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "NOO4606",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NJ",
"license": "25MD00199400",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "PD1985",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MI",
"license": "5901002193",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.