Provider Demographics
NPI:1295951960
Name:WEINSHENKER, NAOMI JOYCE (MD)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:JOYCE
Last Name:WEINSHENKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MULFORD LN
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-1719
Mailing Address - Country:US
Mailing Address - Phone:973-783-9851
Mailing Address - Fax:973-783-9852
Practice Address - Street 1:925 CLIFTON AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2724
Practice Address - Country:US
Practice Address - Phone:973-471-4448
Practice Address - Fax:973-471-5157
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMAO634712084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6901107Medicaid
NJF47065Medicare UPIN
NJWE858356Medicare ID - Type Unspecified