Individual provider Active NPI

Jeffrey S Weisman, DO

  • Cardiovascular Disease Physician
  • Trevose, PA
National Provider Identifier
1649292426
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS003794L Issued in PA
Practice address
6 Neshaminy Interplex
Suite 215
Trevose, PA 19053-6964
Phone
(215) 464-2200
Fax
(215) 639-3605
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS003794L PA Primary
Cardiovascular Disease Physician 207RC0000X 25MB03357200 NJ

Addresses

Primary practice location

6 Neshaminy Interplex
Suite 215
Trevose, PA 19053-6964

Mailing address

6 Neshaminy Interplex
Suite 215
Trevose, PA 19053-6964
Phone (215) 464-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041122000162 PA Practitioner - Cardiovascular Disease (Cardiology) 5890750699 Reassigns benefits to 2 organizations
I20100810000767 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5890750699

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Neshaminy Interplex Dr
Suite 215
Feasterville Trevose, PA 19053-6942
Phone (215) 464-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS003794LPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physicians Group LLC Cardiovascular Disease CurrentSince Mar 1, 2015 Accepting new patients
Dr. Jeffrey S. Weisman, PC Cardiovascular Disease CurrentSince Dec 26, 1994 Accepting new patients
Elena Annopolsky M.D.P.C. Past Accepting new patients
Leonid Magidenko, MD, PC PastSince Oct 1, 2009 Accepting new patients

Locations

1970 N Broad St
Lansdale, PA 19446
Phone (215) 361-1122

9908 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 464-3300

2835 Tyson Ave
Philadelphia, PA 19149
Phone (215) 624-1080

5363 Oxford Ave
Philadelphia, PA 19124
Phone (215) 288-0707

3001 Walnut St
Fl 4
Philadelphia, PA 19104
Phone (215) 386-3556

9908 Roosevelt Blvd
Ste 300
Philadelphia, PA 19115
Phone (215) 464-3300

6 Neshaminy Interplex Dr
Ste 215
Trevose, PA 19053

339 E Street Rd
Trevose, PA 19053
Phone (215) 464-4111

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1649292426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NESHAMINY INTERPLEX",
            "address_2": "SUITE 215",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536964",
            "telephone_number": "215-464-2200",
            "fax_number": "215-639-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 NESHAMINY INTERPLEX",
            "address_2": "SUITE 215",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190536964",
            "telephone_number": "215-464-2200",
            "fax_number": "215-639-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS003794L",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB03357200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

Verify at the official NPI Registry.