Adam Jon Weis, MD
Individual provider Active NPI Pediatrics Physician · Wolcott, NY
NPI 1144563644 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1144563644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 285446-1 (NY)
- Practice address
- 6254 Lawville Rd
Wolcott, NY 14590-9792 - Phone
- (315) 594-9444
- Fax
- (315) 594-1315
- NPI assigned
- Apr 3, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285446-1 | NY | MD | School Registered Nurse |
Interoperability endpoints
- aweis109372@direct.rochesterregional.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 285446-1 | NY | Yes |
Addresses
Primary practice location
6254 Lawville Rd
Wolcott, NY 14590-9792
Mailing address
6254 Lawville Rd
Wolcott, NY 14590-9792
Phone (315) 594-9444
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aweis109372@direct.rochesterregional.org |
Other providers in Wolcott, NY
- Christopher Vanfleet
- Angela Vermeulen
- Rebecca W Wadsworth
- Walgreen Co
- Wayne LTC Pharmacy Inc
- Kathryn Welkley
- Melissia Wheeler
- Michael Wittek
- Wolcott Area Volunteer Ambulance Corp, Inc.
- Wolcott Pharmacy LLC
All providers in Wolcott, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.