Provider Demographics
NPI:1497709638
Name:WEISSMAN, TANYA V (MD)
Entity type:Individual
Prefix:DR
First Name:TANYA
Middle Name:V
Last Name:WEISSMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:90 MATAWAN RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-2653
Mailing Address - Country:US
Mailing Address - Phone:732-441-7177
Mailing Address - Fax:732-441-7165
Practice Address - Street 1:1806 HIGHWAY 35 STE 305
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2764
Practice Address - Country:US
Practice Address - Phone:732-720-0247
Practice Address - Fax:732-508-9100
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2025-09-02
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Provider Licenses
StateLicense IDTaxonomies
NJ25 MA07653000208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ101788Medicaid
NJI54263Medicare UPIN