Active NPI
Burton Weiss, M.D.
- Psychiatry Physician
- Philadelphia, PA
National Provider Identifier
1487711537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD015409E
- Practice address
- 1601 Walnut St
Suite 1422
Philadelphia, PA 19102-2944 - Phone
- (215) 569-8736
- Fax
- (215) 569-1460
- NPI assigned
- Jan 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD015409E | PA | Primary |
Addresses
Primary practice location
1601 Walnut St
Suite 1422
Philadelphia, PA 19102-2944
Mailing address
1601 Walnut St
Suite 1422
Philadelphia, PA 19102-2944
Phone (215) 569-8736
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6108105 | Medicaid | NJ | |
| WE135889 0654283 01 | Medicaid | PA | |
| 954952 | Other | PA | US HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- New Lisbon, NJ
- NPI 1255375929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1487711537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WALNUT ST",
"address_2": "SUITE 1422",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022944",
"telephone_number": "215-569-8736",
"fax_number": "215-569-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WALNUT ST",
"address_2": "SUITE 1422",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022944",
"telephone_number": "215-569-8736",
"fax_number": "215-569-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "BURTON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-01",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD015409E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6108105",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WE135889 0654283 01",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "954952",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.