Healthcare Provider Details

I. General information

NPI: 1114011095
Provider Name (Legal Business Name): MIRTA VEBER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 OLD HOOK ROAD
WESTWOOD NJ
07675
US

IV. Provider business mailing address

645 WESTWOOD AVENUE 2ND FLOOR
RIVER VALE NJ
07675
US

V. Phone/Fax

Practice location:
  • Phone: 201-358-6776
  • Fax: 201-358-1891
Mailing address:
  • Phone: 201-358-6774
  • Fax: 201-358-1140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMA56813
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMA56813
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: