Provider Demographics
NPI:1972767960
Name:HARVEY S WEINGARTEN, MD PA
Entity Type:Organization
Organization Name:HARVEY S WEINGARTEN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEINGARTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-422-2400
Mailing Address - Street 1:3270 STATE ROUTE 27
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1496
Mailing Address - Country:US
Mailing Address - Phone:732-422-2400
Mailing Address - Fax:732-422-1972
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:732-422-1972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA041110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C54169Medicare UPIN