Jennifer Weiss, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

018653 Issued in NY

Practice address

12 E 87TH St Apt 1a
New York, NY 10128-0501

Phone

(212) 996-6900

NPI assigned

Jul 23, 2015

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 NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jschloth@directaddress.net

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.

• Marmur Dermatology and Cardiology, PLLC

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1598043432
  NPD
• Sadick Aesthetic Surgery and Dermatology, PC

  • Dermatology Physician
  • New York, NY
  • NPI 1487727103
  NPD
• Sadick Aesthetic Surgery and Dermatology

  • Dermatology Physician
  • New York, NY
  • NPI 1699920116
  NPD (past)

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1639554397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 MORGAN ST APT 7B",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025903",
            "telephone_number": "203-610-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 87TH ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280501",
            "telephone_number": "212-996-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1468 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296508",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JENNIFER",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "018653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn B Weiss, D.P.M.
• Gretchen Weiss, LMSW
• Harvey Jerome Weiss, M.D.
• Jeffrey Jay Weiss, PHD
• Jeffrey Kurt Weiss, MD
• Jennifer M Weiss, M.S. CCC-SLP
• Jessica Hirsh Weiss, PH.D.
• Jessica Lane Weiss, RN, WHNP
• Jessica M Weiss, MD
• Johanna Weiss, M.D.

• Surgical Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.