Active NPI
Bojana Jankovic Weatherly, M.D., M.SC.
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1033422167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 288259
- Practice address
- 245 5TH Ave FL 3
New York, NY 10016-8728 - Phone
- (646) 627-8000
- Fax
- (646) 368-8019
- NPI assigned
- Jul 18, 2010
- Sex
- Female
- Sole proprietor
- No
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 | A11658 | CA | |
| Internal Medicine Physician | 207R00000X | 288259 | NY | Primary |
Addresses
Primary practice location
245 5TH Ave FL 3
New York, NY 10016-8728
Mailing address
9100 Wilshire Blvd Ste 1000W
Beverly Hills, CA 90212-3463
Phone (646) 627-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 20, 2018 through Sep 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118658 | CA | MD | Marriage & Family Therapist |
| 288259 | NY | MD | Licensed Practical Nurse |
| A11658 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bojana Jankovic Weatherly MD of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Bojana Jankovic Weatherly, MD PLLC | Internal Medicine | Current | Accepting new patients |
Locations
9100 Wilshire Blvd
Ste 1000W
Beverly Hills, CA 90212
Phone (646) 627-8000
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1417623760
-
- Internal Medicine Physician
- Fairfield, CT
- NPI 1689371585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1033422167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 WILSHIRE BLVD STE 1000W",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123463",
"telephone_number": "646-627-8000",
"fax_number": "646-368-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 5TH AVE FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168728",
"telephone_number": "646-627-8000",
"fax_number": "646-368-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERLY",
"first_name": "BOJANA",
"middle_name": "JANKOVIC",
"credential": "M.D., M.SC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-18",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A11658",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "288259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.