Individual provider Active NPI

Jesse Veisblatt

  • Infectious Disease Physician
  • Mount Laurel, NJ
National Provider Identifier
1457921678
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA13021100 Issued in NJ
Practice address
1001 Briggs Rd Ste 250
Mount Laurel, NJ 08054-4111
Phone
(856) 866-7466
Fax
(856) 866-9088
NPI assigned
Jun 29, 2021
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT223516 PA
Infectious Disease Physician 207RI0200X 25MA13021100 NJ Primary

Addresses

Primary practice location

1001 Briggs Rd Ste 250
Mount Laurel, NJ 08054-4111

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 866-7466

Other practice location 1

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (856) 246-8073

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jveisblatt327782@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702002735 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9830591429

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Rutgers New Jersey Medical School, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

303 Lippincott Dr
Suite 200
Marlton, NJ 08053-4160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1457921678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-866-7466",
            "fax_number": "856-866-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD STE 250",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544111",
            "telephone_number": "856-866-7466",
            "fax_number": "856-866-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191405103",
            "country_code": "US",
            "telephone_number": "856-246-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEISBLATT",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT223516",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA13021100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jveisblatt327782@directvirtua.org",
            "affiliation": "N",
            "address_1": "1001 Briggs Rd Ste 250",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080544111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.