David Russell Weesner, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YA00026400 Issued in NJ

Practice address

222 New Rd
Suite 301
Linwood, NJ 08221-1299

Phone

(609) 926-0700

Fax

(609) 926-4870

NPI assigned

Jun 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Audiology LLCGroup PAC ID 0648250639, 2 clinicians

Ocean Otolyarngology LLCGroup PAC ID 3274990577, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.66 of 100Reported as group

Quality

91.32

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ECJHBA/Endpoint/ECJHBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Audiology LLC

  • Audiologist
  • Manahawkin, NJ
  • NPI 1740207158
  Medicare reassignment Care Compare group NPD
• Ocean Otolyarngology LLC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Toms River, NJ
  • NPI 1376241059
  Medicare reassignment Care Compare group NPD
• Certified Audiology Associates

  • Audiologist-Hearing Aid Fitter
  • Linwood, NJ
  • NPI 1083645543
  NPD (past) Authorized official

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265471437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NEW RD",
            "address_2": "SUITE 301",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211299",
            "telephone_number": "609-926-0700",
            "fax_number": "609-926-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD",
            "address_2": "SUITE 301",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211299",
            "telephone_number": "609-926-0700",
            "fax_number": "609-926-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEESNER",
        "first_name": "DAVID",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YA00026400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65",
            "identifier": "205051",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "2189524",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID",
            "identifier": "01000648600",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0423673000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7939507",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "114193",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "657479",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P11203948",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2131888",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO",
            "identifier": "657479",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ HEALTH",
            "identifier": "1140429",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2162112",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brian Eric Weiss, M.D.
• Well BL Opco LLC (Brandywine Living at Brandall Estates LLC)
• Nancy Dawn Wetmore, M.A., LPC
• Peter E. Wiesel, DMD
• Michelle Williams, LPC, LCADC, CCS

• Audiologist in Linwood, NJ
• Providers in Linwood, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.