Organization Active NPI

JW Plastic Surgery PLLC

  • Specialist
  • Key West, FL
National Provider Identifier
1093179103
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME117343 Issued in FL
Legal business name
JW PLASTIC SURGERY PLLC
Practice address
1075 Duval St
Suite C19
Key West, FL 33040-3115
Phone
(305) 602-2500
NPI assigned
Apr 6, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Jeffrey Weinzweig, MD
Title
Owner
Phone
(617) 530-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME117343 FL Primary

Addresses

Primary practice location

1075 Duval St
Suite C19
Key West, FL 33040-3115

Mailing address

1075 Duval St
Suite C19
Key West, FL 33040-3115
Phone (305) 602-2500

National Provider Directory

National Provider Directory

Locations

1075 Duval St
Ste C19
Key West, FL 33040
Phone (305) 602-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1093179103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 DUVAL ST",
            "address_2": "SUITE C19",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403115",
            "telephone_number": "305-602-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 DUVAL ST",
            "address_2": "SUITE C19",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403115",
            "telephone_number": "305-602-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "WEINZWEIG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-530-0250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME117343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.