Lisa R Weinstock


Address: 79 Chestnut St, Suite 100, Ridgewood, NJ 07450-2533

Lisa R Weinstock (NPI# 1871506485, PAC ID# 2567458516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1871506485
PAC ID by PECOS 2567458516
Professional Enrollment ID I20040423000760
Full Name Lisa R Weinstock
Address 79 Chestnut St
Suite 100
Ridgewood
NJ 07450-2533
Gender F
Credential MD
Graduation Year 1988
Primary Specialty DIAGNOSTIC RADIOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310001 HACKENSACK UNIVERSITY MEDICAL CENTER

Other Locations

Address Phone Organization
79 Chestnut St, Suite 100, Ridgewood, NJ 07450-2533

Organization Information

Office Location

Street Address 79 CHESTNUT ST
SUITE 100
City RIDGEWOOD
State NJ
Zip 07450-2533

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Adrien Chavanon Clinical Social Worker Oaks Integrated Care 79 Chestnut St, Lumberton, NJ 08048-1134

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Competitor

Search similar physicians

City RIDGEWOOD
Zip Code 07450
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty RIDGEWOOD + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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