Individual provider Active NPI

Mark R. Weinstock, DPM, CWS

  • Podiatrist
  • Maywood, NJ
National Provider Identifier
1992709430
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
25MD00199400 Issued in NJ
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

Updated by the provider on Aug 25, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000207 NJ Practitioner - Podiatry 4486648755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PD1985MAMDPodiatrist
5901002193MIMDPodiatrist
NOO4606NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot Care Specialists Podiatrist CurrentSince Apr 7, 2010 Accepting new patients
Broadway Foot and Ankle Ctr PA Podiatrist Past Accepting new patients
R.Y. FNP Professional Corporation PastSince Dec 8, 2024 Accepting new patients

Locations

240 W Passaic St
Ste 4
Maywood, NJ 07607
Phone (201) 880-6000

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.