Judith M Weiss-Rivera, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

029452 Issued in CT

Practice address

652 Boston Post Rd
Guilford, CT 06437-2719

Phone

(203) 453-0677

Fax

(203) 458-7015

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386755429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372719",
            "telephone_number": "203-453-0677",
            "fax_number": "203-458-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372719",
            "telephone_number": "203-453-0677",
            "fax_number": "203-458-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS-RIVERA",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "029452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Warner, LCSW
• Megan Beth Warner, PH.D.
• William E. Watkinson, DPT
• Stephanie Rose Weady, DPT
• Jana D. Weiss Wuerth, APRN, MSN, CS
• Alan M Weiss, MD
• Eleanor D Weissberg, MD
• Elizabeth Weisser
• Well Balanced Eating, LLC
• Well Rooted Practice LLC

• Family Medicine Physician in Guilford, CT
• Providers in Guilford, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.