Individual provider Active NPI

Mary Elizabeth Weiss

  • Pediatric Critical Care Nutrition Registered Dietitian
  • Philadelphia, PA
National Provider Identifier
1184553059
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Nutrition Registered DietitianTaxonomy code 133VN1401X
License
DN007897 Issued in PA
Practice address
943 Washington Ave Apt 404
Philadelphia, PA 19147-3868
Phone
(856) 701-4198
NPI assigned
May 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Nutrition Registered Dietitian 133VN1401X DN007897 PA Primary

Addresses

Primary practice location

943 Washington Ave Apt 404
Philadelphia, PA 19147-3868

Mailing address

943 Washington Ave Apt 404
Philadelphia, PA 19147-3868
Phone (856) 701-4198

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN007897PAMDPediatric Critical Care Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1184553059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 WASHINGTON AVE APT 404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473868",
            "telephone_number": "856-701-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 WASHINGTON AVE APT 404",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473868",
            "telephone_number": "856-701-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1401X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric Critical Care",
            "state": "PA",
            "license": "DN007897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.