Provider Demographics
NPI:1962445155
Name:WEINSCHENK, ROBERT C (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:WEINSCHENK
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 1:280 NEWTON SPARTA RD
Mailing Address - Street 2:STE 4
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860
Mailing Address - Country:US
Mailing Address - Phone:973-579-7443
Mailing Address - Fax:973-579-7218
Practice Address - Street 1:280 NEWTON SPARTA RD
Practice Address - Street 2:STE 4
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860
Practice Address - Country:US
Practice Address - Phone:973-579-7443
Practice Address - Fax:973-579-7218
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ MA40751207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1916301Medicaid
C63224Medicare UPIN
NJ1916301Medicaid
NJ418695B8NMedicare ID - Type UnspecifiedINDIVIDUAL NUMBER