Active NPI
Timothy R Weimer, NP
- Nurse Practitioner
- Bordentown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NO12213800
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00060200 | NJ | MD | Nurse Practitioner |
| 26NO12213800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| New Jersey Urology LLC | Current | Accepting new patients | |
| Center for Advanced Urology | Current | Accepting new patients | |
| Summit Medical Group PA | Current | 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
- https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem
- 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.
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Urology Physician
- Salem, NJ
- NPI 1598720443
-
- Urology Physician
- Bloomfield, NJ
- NPI 1588822423
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Nurse Practitioner
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
dba Inspira Medical Center Elmer
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
dba Inspira Medical Center Mullica Hill
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
dba SJH Sports Rehab Care - Tomlin Station
- Physical Therapy Clinic/Center
- Mullica Hill, NJ
- NPI 1609158732
Hospital
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
dba Virtua Mount Holly Hospital
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.