| Frederick J Weisbrot, MD | |
|
190 Eagle Rock Avenue, Roseland, NJ 07068-0393 | |
| (201) 997-2044 | |
| (201) 997-2041 |
| Full Name | Frederick J Weisbrot |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 190 Eagle Rock Avenue, Roseland, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164540019 | NPI | - | NPPES |
| 3060403 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA03309600 (New Jersey) | Primary |
| Entity Name | Central Avenue Professional Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1447649694 PECOS PAC ID: 7214258003 Enrollment ID: O20150604002544 |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick J Weisbrot, MD Po Box 393, 190 Eagle Rock Avenue, Roseland, NJ 07068-0393 Ph: (201) 997-2044 | Frederick J Weisbrot, MD 190 Eagle Rock Avenue, Roseland, NJ 07068-0393 Ph: (201) 997-2044 |
Jeffrey Hall, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068 Phone: 973-795-1260 Fax: 973-795-1259 | |
Patrick Daniel Mcnamara, APN Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 Eisenhower Pkwy, Roseland, NJ 07068 Phone: 973-756-3266 Fax: 973-425-5661 | |
Dr. Emanuel Elfenbein, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 204 Eagle Rock Ave, Roseland, NJ 07068 Phone: 973-228-8943 |