Individual provider Active NPI

Timothy R Weimer, NP

  • Nurse Practitioner
  • Bordentown, NJ
National Provider Identifier
1447292495
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NO12213800 Issued in NJ
Practice address
243 Route 130 Ste 100
Bordentown, NJ 08505-2137
Phone
(877) 388-2778
Fax
(856) 252-1100
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00060200 NJ
Nurse Practitioner 363L00000X 26NO12213800 NJ Primary

Addresses

Primary practice location

243 Route 130 Ste 100
Bordentown, NJ 08505-2137

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

570 Egg Harbor Rd
Ste A-1
Sewell, NJ 08080-2359
Phone (856) 582-9645

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tweimer10071@njurology.direct-ci.com New Jersey Urology LLC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060621000011 NJ Practitioner - Nurse Practitioner 0840202529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00060200NJMDNurse Practitioner
26NO12213800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
New Jersey Urology LLC CurrentSince Apr 1, 2018 Accepting new patients
Center for Advanced Urology CurrentSince Aug 13, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630

2090 Springdale Rd
Ste D
Cherry Hill, NJ 08003

4 Bypass Rd
Ste 103
Salem, NJ 08079
Phone (856) 339-4453

570 Egg Harbor Rd
Ste A1
Sewell, NJ 08080
Phone (856) 582-9645

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem
  • Direct secure messaging: tweimer10071@njurology.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1447292495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ROUTE 130 STE 100",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052137",
            "telephone_number": "877-388-2778",
            "fax_number": "856-252-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Egg Harbor Rd",
            "address_2": "Ste A-1",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "856-582-9645",
            "fax_number": "856-218-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIMER",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00060200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NO12213800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tweimer10071@njurology.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "New Jersey Urology LLC",
            "address_1": "570 Egg Harbor Rd",
            "address_2": "Ste A-1",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.