Active NPI
Stefan C Weiss, MD PA
- Dermatology Physician
- Boca Raton, FL
National Provider Identifier
1447583786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME91819
- Legal business name
- STEFAN C WEISS, MD PA
- Practice address
- 9980 Central Park Blvd N
Suite 124
Boca Raton, FL 33428-1762 - Phone
- (561) 372-7546
- NPI assigned
- Sep 17, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stefan Craig Weiss, MD
- Title
- President
- Phone
- (561) 372-7546
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME91819 | FL | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME91819 | FL |
Addresses
Primary practice location
9980 Central Park Blvd N
Suite 124
Boca Raton, FL 33428-1762
Mailing address
9980 Central Park Blvd N
Suite 124
Boca Raton, FL 33428-1762
Phone (561) 372-7546
National Provider Directory
National Provider DirectoryLocations
9980 Central Park Blvd N
Ste 124
Boca Raton, FL 33428
Phone (561) 372-7546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253145600000",
"number": "1447583786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9980 CENTRAL PARK BLVD N",
"address_2": "SUITE 124",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281762",
"telephone_number": "561-372-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9980 CENTRAL PARK BLVD N",
"address_2": "SUITE 124",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334281762",
"telephone_number": "561-372-7546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEFAN C WEISS, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-17",
"last_updated": "2009-09-17",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "STEFAN",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-372-7546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "FL",
"license": "ME91819",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME91819",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.