Individual provider Active NPI

Paula Weisman

  • Psychiatric/Mental Health Nurse Practitioner
  • Flanders, NJ
National Provider Identifier
1013542984
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01022300 Issued in NJ
Practice address
8 Brownstone PL
Flanders, NJ 07836-9325
Phone
(973) 713-8472
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01022300 NJ Primary

Addresses

Primary practice location

8 Brownstone PL
Flanders, NJ 07836-9325

Mailing address

8 Brownstone PL
Flanders, NJ 07836-9325
Phone (973) 713-8472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MA, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201027000811 NJ Practitioner - Nurse Practitioner 8729408000 Reassigns benefits to 1 organization
I20240622000210 MA Practitioner - Nurse Practitioner 8729408000 Reassigns benefits to 1 organization
I20250211001579 WA Practitioner - Nurse Practitioner 8729408000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eleanor Health Professional Ma, PLLC 12 clinicians
Eleanor Health Professional NJ, LLC 15 clinicians

Practice addresses (Care Compare)

108 Grove St
Suite 200
Worcester, MA 01605-2651
Phone (866) 420-5113

2250 Chapel Ave W
Suite 120
Cherry Hill, NJ 08002-2051
Phone (856) 861-5660

5 Lincoln Hwy
Edison, NJ 08820-3964
Phone (856) 421-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Guidance Center of Warren County CurrentSince Aug 31, 2020 Accepting new patients
Eleanor Health Professional Wa, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Eleanor Health Professional Ma, PLLC CurrentSince Jun 5, 2024 Accepting new patients

Locations

348 N Pearl St
Ste 200
Brockton, MA 02301
Phone (508) 210-1163

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

108 Grove St
Ste 200
Worcester, MA 01605
Phone (774) 460-8436

492 State Route 57 W
Washington, NJ 07882
Phone (908) 689-1000

4310 Colby Ave
Ste 201
Everett, WA 98203
Phone (425) 252-7000

1120 E Terrace St
Ste 100
Seattle, WA 98122
Phone (206) 312-4072

1101 N Argonne Rd
Ste 110
Spokane Valley, WA 99212
Phone (509) 508-0226

Interoperability endpoints

  • Direct secure messaging: paula.weisman.1@21505.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1013542984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BROWNSTONE PL",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369325",
            "telephone_number": "973-713-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BROWNSTONE PL",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369325",
            "telephone_number": "973-713-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "PAULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01022300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

Verify at the official NPI Registry.