Provider Demographics
NPI:1629159892
Name:WEINGARTEN, HARVEY S (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:S
Last Name:WEINGARTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3270 STATE HIGHWAY ROUTE 27
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824
Mailing Address - Country:US
Mailing Address - Phone:732-422-2400
Mailing Address - Fax:732-463-6087
Practice Address - Street 1:3270 STATE ROUTE 27
Practice Address - Street 2:SUITE 1200
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1496
Practice Address - Country:US
Practice Address - Phone:732-422-2400
Practice Address - Fax:732-463-6087
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2017-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA041110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222623593OtherTAX ID
NJC54169Medicare UPIN
NJ413352Medicare PIN