Organization Active NPI

Juli Weitzen DPM

  • Podiatrist
  • Pottstown, PA
National Provider Identifier
1477626372
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC0031963L Issued in PA
Legal business name
JULI WEITZEN DPM
Practice address
828 N Hanover Street
Pottstown, PA 19464
Phone
(610) 327-8554
Fax
(484) 449-9684
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Dr. Juli A Weitzen, MD
Title
Owner
Phone
(610) 327-8554

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X SC-003193L PA
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X SC0031963L PA Primary

Addresses

Primary practice location

828 N Hanover Street
Pottstown, PA 19464

Mailing address

828 N Hanover Street
Lower Level
Pottstown, PA 19464
Phone (610) 327-8554

Other identifiers 7

IdentifierTypeStateIssuer
0083575000OtherPAPERSONAL CHOICE
27-01105OtherPAEVERCARE
A43405OtherPAINTERCOUNTY
000143405OtherPAHIGHMARK BLUE SHIELD
1112351MedicaidPA
50001567OtherPACAPITAL BLUE CROSS
T29547OtherPAUPIN

National Provider Directory

National Provider Directory

Locations

828 N Hanover St
Pottstown, PA 19464
Phone (484) 524-5318

828 N Hanover St
Lowr
Pottstown, PA 19464
Phone (484) 949-9659

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1477626372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 N HANOVER STREET",
            "address_2": "LOWER LEVEL",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-327-8554",
            "fax_number": "610-323-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 N HANOVER STREET",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-327-8554",
            "fax_number": "484-449-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULI WEITZEN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "WEITZEN",
        "authorized_official_first_name": "JULI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-327-8554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC-003193L",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC0031963L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0083575000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "27-01105",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERCOUNTY",
            "identifier": "A43405",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000143405",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1112351",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50001567",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T29547",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.