Active NPI
Jordana Weber, MD
- Family Medicine Physician
- Lebanon, PA
National Provider Identifier
1174897441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD458576
- Practice address
- 252 S 4TH St FL 3
Lebanon, PA 17042-6111 - Phone
- (717) 270-4876
- Fax
- (717) 270-3875
- NPI assigned
- Mar 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD458576 | PA | Primary |
| Family Medicine Physician | 207Q00000X | 281031 | NY | |
| Hospitalist Physician | 208M00000X | 281031 | NY |
Addresses
Primary practice location
252 S 4TH St FL 3
Lebanon, PA 17042-6111
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405
Other practice location 1
1101 Nott St
Schenectady, NY 12308-2425
Phone (518) 243-4135
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000426822001 | Other | NY | BLUE SHIELD OF NENY |
| 8D5861 | Other | NY | EMPIRE BLUE CROSS |
| 200314735 | Other | NY | CDPHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000
Hospital & facility affiliations
- Ellis Hospital
- St Marys Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD458576 | PA | MD | Family Medicine Physician |
| 281031 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Hospital | Family Medicine | Current | Accepting new patients |
| Beebe Physician Network Inc. | Hospitalist | Current | Accepting new patients |
Locations
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
1515 Savannah Rd
Ste 200
Lewes, DE 19958
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
103 Sitterly Rd
Ste 1100
Halfmoon, NY 12065
Phone (518) 579-2555
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1174897441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "252 S 4TH ST FL 3",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426111",
"telephone_number": "717-270-4876",
"fax_number": "717-270-3875"
}
],
"practiceLocations": [
{
"address_1": "1101 Nott St",
"address_purpose": "LOCATION",
"city": "Schenectady",
"state": "NY",
"postal_code": "123082425",
"country_code": "US",
"telephone_number": "518-243-4135",
"fax_number": "518-243-1367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "JORDANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD458576",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "281031",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "281031",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NENY",
"identifier": "000426822001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "8D5861",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "200314735",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.