Active NPI
Noah Kawika Weisberg, MD
- Dermatology Physician
- Jupiter, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME85020
- Practice address
- 4601 Military TRL
Suite 203
Jupiter, FL 33458-4834 - Phone
- (561) 775-6011
- Fax
- (561) 775-6044
- NPI assigned
- Dec 27, 2005
- 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 |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME85020 | FL | |
| Dermatology Physician | 207N00000X | ME85020 | FL | Primary |
Addresses
Primary practice location
4601 Military TRL
Suite 203
Jupiter, FL 33458-4834
Mailing address
103 Remo PL
Palm Beach Gardens, FL 33418-1740
Phone (615) 352-9798
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110120000139 | FL | Practitioner - Dermatology | 6507045705 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME85020 | FL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBD&P Inc | Dermatology | Current | Accepting new patients |
| Douglas K Pierce MD PA | Past | Accepting new patients |
Locations
4601 Military Trl
Ste 203
Jupiter, FL 33458
Phone (561) 775-6011
3401 Pga Blvd
Ste 420
Palm Beach Gardens, FL 33410
Phone (561) 471-1808
701 Northpoint Pkwy
Ste 300
West Palm Beach, FL 33407
Phone (561) 863-1000
470 Columbia Dr
Ste A102
West Palm Beach, FL 33409
Phone (561) 640-4400
Interoperability endpoints
- https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- MOHS-Micrographic Surgery Physician
- Jupiter, FL
- NPI 1841559606
-
dba Palm Beach Dermatology Inc
- Dermatopathology Physician
- West Palm Beach, FL
- NPI 1689640328
Dermatology
-
dba The Dermatology Clinic
- Procedural Dermatology Physician
- Largo, FL
- NPI 1053515379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1568449031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 REMO PL",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334181740",
"telephone_number": "615-352-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 MILITARY TRL",
"address_2": "SUITE 203",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584834",
"telephone_number": "561-775-6011",
"fax_number": "561-775-6044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISBERG",
"first_name": "NOAH",
"middle_name": "KAWIKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME85020",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME85020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.