DR. DAVID WEITHORN (NPI# 1033504303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033504303 |
| Entity Type | Individual |
| Full Name | DR. DAVID WEITHORN |
| Credential | MD |
| Practice Address |
90 Prospect Ave Ste 1d Hackensack NJ 07601-1918 |
| Practice Telephone | 2013433433 |
| Practice Fax Number | 2013430420 |
| Mailing Telephone | 2013433433 |
| Mailing Fax Number | 2013430420 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25MA10698500 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | 25MA10698500 | 01 |
| Street Address |
90 PROSPECT AVE STE 1D |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982015020 | Bethany Desroches | Surgery | 360 Essex St Ste 403, Hackensack, NJ 07601-8566 | 2014-05-12 |
| 1427348580 | Oriana Petruolo | Surgery | 20 Prospect Ave Ste 402, Hackensack, NJ 07601-1941 | 2011-04-11 |
| 1619104213 | Tina Theresa Thomas | Surgery | 20 Prospect Ave Ste 408, Hackensack, NJ 07601-1941 | 2009-06-22 |
| 1215175112 | Andrew Kagan | Surgery | 241 Moore St., Bergen Volunteer Medical Initiative, Hackensack, NJ 07601-1911 | 2009-01-30 |
| 1215037981 | Roxana G. Kline | Surgery | 332 Summit Ave, Hackensack, NJ 07601-1430 | 2006-09-23 |
| 1013021674 | Howard Jay Goldson | Surgery | 20 Prospect Ave Ste 315, Hackensack, NJ 07601-1997 | 2006-08-19 |
| 1750349759 | Rogen C Keys | Surgery | 211 Essex St Suite 102, Hackensack, NJ 07601 | 2006-05-02 |
| 1134735194 | Akeso Wound Institute, LLC | Surgery | 5 Summit Ave Ste 105, Hackensack, NJ 07601-1271 | 2020-09-16 |
| 1972983625 | Paul D Bailey | Surgery | 20 Prospect Ave Ste 703, Hackensack, NJ 07601-1963 | 2015-06-08 |
| 1609276443 | Jyoti Sharma | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2014-08-29 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on DR. DAVID WEITHORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.