=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568385102
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WEINBERG ANESTHESIA, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2026
-----------------------------------------------------
Last Update Date | 08/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1140 ROUTE 72 WEST
-----------------------------------------------------
City | MANAHAWKIN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08050
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-877-4332
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2145 HIGHWAY 35 # 1075
-----------------------------------------------------
City | SEA GIRT
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08750-1003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-877-4332
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING MEMBER
-----------------------------------------------------
Name | DR. JONATHAN DAVID WEINBERG
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 718-877-4332
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------