Simon Weitzman LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

41758 Issued in MA

Legal business name

SIMON WEITZMAN LLC

Practice address

105 Chestnut St
Needham, MA 02492-2599

Phone

(781) 444-9080

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kristin Gillis

Title

Manager

Phone

(781) 444-9080

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Marshall Feuer, MD

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1093705626
  NPD
• Lauren Talbot

  • Primary Care Nurse Practitioner
  • Needham, MA
  • NPI 1972021624
  NPD
• Renee M Jacobs, M.D.

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1396784484
  NPD (past)
• Yatish M Patel, MD

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1326005752
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1174763619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922599",
            "telephone_number": "781-444-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHESTNUT ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922599",
            "telephone_number": "781-444-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON WEITZMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "GILLIS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "781-444-9080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "41758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2062011",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L Silken, L.I.C.S.W.
• Gabriela Silva Pinto, MA
• Bernard L Silverman, M.D.
• Tricia Silverman, RD, LDN, MBA
• Elizabeth Silvestri-O'Neil, LMHC
• Simone Nutrition
• Andrea M. Simonson, PHD, CCC-A
• Timothy Lee Sinn
• Nathan Siskel
• Rafi Skowronski, MD

• Primary Care Clinic/Center in Needham, MA
• Providers in Needham, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.