FREDERICK J WEISBROT (MD) – Neurology Physician, NPI 1164540019

FREDERICK J WEISBROT (MD) is a healthcare provider. based in Roseland, New Jersey. specializing in Neurology Physician. They hold the professional credentials MD. They hold a License No. 25MA03309600 (NJ). The NPI Number for FREDERICK J WEISBROT (MD) is 1164540019

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK J WEISBROT (MD)
NPI
1164540019
Phone
(201) 997-2044
Address
PO BOX 393
Enumeration Date
27 March 2007
Last Update Date
2 April 2010

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
7719017516
Group Practice PAC ID
7214258003
Professional Enrollment ID
I20100604000432
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for FREDERICK J WEISBROT (MD)

  • PO BOX 393

    190 EAGLE ROCK AVENUE

    ROSELAND, NJ 070680393

    Phone: (201) 997-2044

    Fax: (201) 997-2041

    Type: Mailing

  • 190 EAGLE ROCK AVENUE

    ROSELAND, NJ 070680393

    Phone: (201) 997-2044

    Fax: (201) 997-2041

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100604000432IPsychiatryNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214258003View full group profile
NameSpecialtyState
Internal Medicine, HospitalistNJ
Infectious Disease, Internal MedicineNJ
Endocrinology, Internal MedicineNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
Radiation OncologyFL
Pulmonary Disease, Critical Care (Intensivists)NJ
Internal Medicine, Pulmonary DiseaseNJ
Internal MedicinePA
Cardiovascular Disease (Cardiology)NJ
Surgical OncologyNJ

Reviews

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Frequently asked questions

Is FREDERICK J WEISBROT (MD) listed with a National Provider Identifier?
Yes — FREDERICK J WEISBROT (MD) has NPI 1164540019 on file in the registry.
Is there an active status for FREDERICK J WEISBROT (MD)?
For scheduling context, FREDERICK J WEISBROT (MD) is shown as active in the registry.
How would a patient describe FREDERICK J WEISBROT (MD)'s focus?
For FREDERICK J WEISBROT (MD), the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
Where in New Jersey is FREDERICK J WEISBROT (MD) registered?
Use Roseland, New Jersey as the headline location for FREDERICK J WEISBROT (MD) here.
Does FREDERICK J WEISBROT (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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