Individual provider Active NPI

Jonathan M Weiswasser, MD

  • Vascular Surgery Physician
  • Red Bank, NJ
National Provider Identifier
1285617308
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA07949800 Issued in NJ
Practice address
331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691
Phone
(732) 426-3420
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA07949800 NJ Primary

Addresses

Primary practice location

331 Newman Springs Rd Ste 200
Red Bank, NJ 07701-5691

Mailing address

200 Schulz Dr Ste 2
Red Bank, NJ 07701-6745
Phone (732) 333-8720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000909 NJ Practitioner - Vascular Surgery 2567496326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
New York University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Plastic Surgery CenterGroup PAC ID 8921060484, 88 clinicians

Practice addresses (Care Compare)

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 333-8720

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07949800NJMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Woods O.R., Inc. CurrentSince May 18, 2025 Accepting new patients
The Plastic Surgery Center CurrentSince Apr 1, 2022 Accepting new patients

Locations

561 Cranbury Rd
East Brunswick, NJ 08816
Phone (201) 620-3010

200 Schulz Dr
Ste 2
Red Bank, NJ 07701

331 Newman Springs Rd
Ste 200
Red Bank, NJ 07701
Phone (732) 242-7101

535 Sycamore Ave
Shrewsbury, NJ 07702
Phone (737) 741-0970

Interoperability endpoints

  • Direct secure messaging: jweiswasser@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1285617308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHULZ DR STE 2",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016745",
            "telephone_number": "732-333-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD STE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015691",
            "telephone_number": "732-426-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISWASSER",
        "first_name": "JONATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA07949800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

Verify at the official NPI Registry.