Shoshana E Weiner, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00211800 Issued in NJ

Practice address

40 Bey Lea Rd
Suite B, Building B 203
Toms River, NJ 08753-2900

Phone

(732) 341-5180

Fax

(732) 349-1507

NPI assigned

Jan 29, 2009

Last updated

Jan 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgi-Med Family Medical CenterGroup PAC ID 7416197728, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

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.

• Urgi-Med Family Medical Center

  • Emergency Medicine Physician
  • Lakewood, NJ
  • NPI 1639427495
  Medicare reassignment Care Compare group
• Kayla Pediatrics, PC

  • Pediatrics Physician
  • Linden, NJ
  • NPI 1851893002
  NPD (past)

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1639317654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KINGSFIELD DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013086",
            "telephone_number": "732-886-5423",
            "fax_number": "732-886-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "SUITE B, BUILDING B 203",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-341-5180",
            "fax_number": "732-349-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "SHOSHANA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00211800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Weeks, LCSW
• Brian Michael Wehner
• Weill PT LLC
• Stephen Weill, DPT
• Ashley Weiman, LCSW
• Janet M Weiss, NURSE PRACTITIONER
• Lisa Weiss
• Jules Weissman, DDS
• Lori Mary Weissman, M.A. CCC/SLP
• Winifred A Welch, P.T.

• Medical Physician Assistant in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.

Verify at the official NPI Registry.