Active NPI
Leigh Jordan Weiss, ATC, PT/DPT
- Athletic Trainer
- East Rutherford, NJ
National Provider Identifier
1144282252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1925 Giants Dr
Timex Performance Center
East Rutherford, NJ 07073-2140 - Phone
- (201) 935-8111
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary | ||
| Sports Physical Therapist | 2251S0007X | 40QA01381100 | NJ |
Addresses
Primary practice location
1925 Giants Dr
Timex Performance Center
East Rutherford, NJ 07073-2140
Mailing address
224 Bloomfield St
Apt. 3
Hoboken, NJ 07030-4759
Phone (848) 228-0246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 984835 | Other | NJ | NATA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1144282252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 BLOOMFIELD ST",
"address_2": "APT. 3",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304759",
"telephone_number": "848-228-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 GIANTS DR",
"address_2": "TIMEX PERFORMANCE CENTER",
"city": "EAST RUTHERFORD",
"state": "NJ",
"postal_code": "070732140",
"telephone_number": "201-935-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "LEIGH",
"middle_name": "JORDAN",
"name_prefix": "Mr.",
"credential": "ATC, PT/DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NJ",
"license": "40QA01381100",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATA",
"identifier": "984835",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Rutherford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.