Active NPI
Simon Leon Weitzman, MD
- Internal Medicine Physician
- Needham, MA
National Provider Identifier
1013973775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 41758
- Practice address
- 105 Chestnut
Suite 26 Internists Associated
Needham, MA 02192 - Phone
- (781) 444-9080
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 41758 | MA | Primary |
| Primary Care Clinic/Center | 261QP2300X | 41758 | MA |
Addresses
Primary practice location
105 Chestnut
Suite 26 Internists Associated
Needham, MA 02192
Mailing address
105 Chestnut
Suite 26 Internists Associated
Needham, MA 02192
Phone (781) 444-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M15636 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41758 | MA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1013973775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CHESTNUT",
"address_2": "SUITE 26 INTERNISTS ASSOCIATED",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "02192",
"telephone_number": "781-444-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 CHESTNUT",
"address_2": "SUITE 26 INTERNISTS ASSOCIATED",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "02192",
"telephone_number": "781-444-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZMAN",
"first_name": "SIMON",
"middle_name": "LEON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "41758",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MA",
"license": "41758",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "M15636",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.