Active NPI
Vanessa Rae Weir, MD
- Dermatology Physician
- Philadelphia, PA
National Provider Identifier
1376338582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MT238053
- Practice address
- 3401 N Broad St FL 5
Philadelphia, PA 19140-5103 - Phone
- (800) 836-7536
- NPI assigned
- Apr 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MT238053 | PA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NY |
Addresses
Primary practice location
3401 N Broad St FL 5
Philadelphia, PA 19140-5103
Mailing address
3401 N Broad St BLDG 5
Philadelphia, PA 19140-5103
Other practice location 1
1000 10th Ave
New York, NY 10019-1147
Phone (212) 259-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260623001678 | PA | Order and Referring Only - Dermatology | 2466925383 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Upper Extremity OT Services, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- New York, NY
- NPI 1457432494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1376338582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 N BROAD ST BLDG 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST FL 5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "800-836-7536"
}
],
"practiceLocations": [
{
"address_1": "1000 10th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191147",
"country_code": "US",
"telephone_number": "212-259-6777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIR",
"first_name": "VANESSA",
"middle_name": "RAE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-10",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MT238053",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
}
],
"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 Jun 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.