Nicole Weist
Individual provider Active NPI Physician Assistant · Burlington Township, NJ
NPI 1417419797 · NPPES record last updated Jul 6, 2025
Key facts
- NPI
- 1417419797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00513000 (NJ)
- Practice address
- 911 Sunset Rd
Burlington Township, NJ 08016-2250 - Phone
- (609) 387-8787
- Fax
- (609) 386-8640
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advocare, LLC
Practice addresses (Care Compare)
132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211
911 Sunset Rd
Burlington, NJ 08016-2250
Phone (609) 387-8787
Hospital & facility affiliations
- Virtua Willingboro Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190702003024 | NJ | Practitioner - Physician Assistant | 4789918202 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | General Practice | Current |
Accepting new patients |
| Advocare, LLC | Current |
Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients |
Locations
169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034
911 Sunset Rd
Burlngtn Twp, NJ 08016
Phone (609) 387-8787
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777
Interoperability endpoints
- nicole.brandtpark@advocaredoctors.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 25MP00513000 | NJ | |
| Physician Assistant | 363A00000X | 25MP00513000 | NJ | Yes |
Addresses
Primary practice location
911 Sunset Rd
Burlington Township, NJ 08016-2250
Mailing address
911 Sunset Rd
Burlington Township, NJ 08016-2250
Phone (609) 387-8787
Other names
- Nicole Brandt-Park
Other providers in Burlington Township, NJ
- Carolyn Michelle Ross
- Kamorin Samson
- Krystina Sapienza
- Nicole Tully
- Brandon Vaccaro
- Monica Wesson
- Maureen Wolverton
- Zopab Community Homes of NJ LLC
All providers in Burlington Township, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.