Individual provider Active NPI

Catherine C Weng, MD

  • Facial Plastic Surgery Physician
  • Wayne, PA
National Provider Identifier
1093030926
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
MD468734 Issued in PA
Practice address
303 W Lancaster Ave Ste 1a
Wayne, PA 19087-3938
Phone
(845) 548-5463
NPI assigned
Apr 4, 2010
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X MD468734 PA Primary

Addresses

Primary practice location

303 W Lancaster Ave Ste 1a
Wayne, PA 19087-3938

Mailing address

1210 W Wynnewood Rd
Wynnewood, PA 19096-2206
Phone (845) 548-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115000780 PA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5890009377 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD468734PAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

830 Old Lancaster Rd
Ste 209
Bryn Mawr, PA 19010
Phone (610) 525-1061

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1093030926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 W WYNNEWOOD RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962206",
            "telephone_number": "845-548-5463",
            "fax_number": "303-469-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LANCASTER AVE STE 1A",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873938",
            "telephone_number": "845-548-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENG",
        "first_name": "CATHERINE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-04",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "PA",
            "license": "MD468734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.