Provider Demographics
NPI:1740678952
Name:HOUSECALLS FOR THE HOMEBOUND MEDICINE NJ PC
Entity type:Organization
Organization Name:HOUSECALLS FOR THE HOMEBOUND MEDICINE NJ PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDAH
Authorized Official - Middle Name:Z
Authorized Official - Last Name:WEINBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:718-360-9370
Mailing Address - Street 1:2 UNIVERSITY PLZ
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6202
Mailing Address - Country:US
Mailing Address - Phone:201-564-0142
Mailing Address - Fax:
Practice Address - Street 1:2 UNIVERSITY PLZ
Practice Address - Street 2:SUITE 204
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6202
Practice Address - Country:US
Practice Address - Phone:201-564-0142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty