Organization Active NPI

Joel M. Weissman M.D.P.C.

  • Urology Physician
  • Phila, PA
National Provider Identifier
1427189059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD014154E Issued in PA
Legal business name
JOEL M. WEISSMAN M.D.P.C.
Practice address
7500 Central Ave
Suite 107
Phila, PA 19111-2430
Phone
(215) 745-4130
Fax
(215) 745-9666
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joel M Weissman, M.D.
Title
President
Phone
(215) 745-4130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD014154E PA Primary

Addresses

Primary practice location

7500 Central Ave
Suite 107
Phila, PA 19111-2430

Mailing address

7500 Central Ave
Suite 107
Phila, PA 19111-2430
Phone (215) 745-4130

Other identifiers 1

IdentifierTypeStateIssuer
0674929MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427189059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 CENTRAL AVE",
            "address_2": "SUITE 107",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112430",
            "telephone_number": "215-745-4130",
            "fax_number": "215-745-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CENTRAL AVE",
            "address_2": "SUITE 107",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191112430",
            "telephone_number": "215-745-4130",
            "fax_number": "215-745-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL M. WEISSMAN M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-745-4130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "MD014154E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0674929",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.