Provider Demographics
NPI:1689764466
Name:WINZELBERG, NEAL JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:JEFFREY
Last Name:WINZELBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 JACK MARTIN BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724
Mailing Address - Country:US
Mailing Address - Phone:732-840-0067
Mailing Address - Fax:732-840-3169
Practice Address - Street 1:525 JACK MARTIN BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724
Practice Address - Country:US
Practice Address - Phone:732-840-0067
Practice Address - Fax:732-840-3169
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA052980207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0245305Medicaid
NJ545432N46Medicare ID - Type Unspecified
NJ0245305Medicaid