| Yitzchak Weinberger Md Nj Pc | |
|
8 Bourbon Ct Lakewood NJ 08701-3784 | |
| (718) 534-0689 | |
| Not Available |
| Full Name | Yitzchak Weinberger Md Nj Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8 Bourbon Ct, Lakewood, New Jersey |
| Authorized Official Name and Position | Yitzchak Weinberger (OWNER) |
| Authorized Official Contact | 3473040716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yitzchak Weinberger Md Nj Pc 250 Skillman St Ste 204 Brooklyn NY 11205-1218 Ph: (718) 534-0689 | Yitzchak Weinberger Md Nj Pc 8 Bourbon Ct Lakewood NJ 08701-3784 Ph: (718) 534-0689 |
| NPI Number | 1194434266 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 7214306091 |
|---|---|
| Medicare Enrollment ID | O20221219000436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194434266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yitzchak Weinberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720423346 PECOS PAC ID: 6507081023 Enrollment ID: I20221219000531 |
| Provider Name | Lauren Guse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990210 PECOS PAC ID: 8325366990 Enrollment ID: I20230315001543 |
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