Individual provider Active NPI

Alex Jacob Weiner, MPH, FNP/PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Bedford, MA
National Provider Identifier
1679129738
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2323907 Issued in MA
Practice address
355 Union St
New Bedford, MA 02740-3691
Phone
(508) 401-8605
Fax
(508) 503-6512
NPI assigned
Aug 14, 2019
Last updated
Nov 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2323907 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2323907 MA Primary

Addresses

Primary practice location

355 Union St
New Bedford, MA 02740-3691

Mailing address

355 Union St
New Bedford, MA 02740-3691
Phone (508) 401-8605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20211021002809 MA Practitioner - Nurse Practitioner 8224431820 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

107 Commercial St
Mashpee, MA 02649-6507

355 Union St
New Bedford, MA 02740-3691
Phone (508) 401-8605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2323907MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Bedford Psychiatry and Wellness PLLC Psychiatric/Mental Health CurrentSince Jun 6, 2025 Accepting new patients
Community Health Center of Cape Cod Inc CurrentSince Apr 1, 2024 Accepting new patients
Community Health Center of Cape Cod, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Community Health Center of Cape Cod, Inc. Past Accepting new patients

Locations

107 Commercial St
Mashpee, MA 02649
Phone (508) 539-6000

Interoperability endpoints

  • Direct secure messaging: aweiner697658@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1679129738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 UNION ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403691",
            "telephone_number": "508-401-8605",
            "fax_number": "508-503-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 UNION ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403691",
            "telephone_number": "508-401-8605",
            "fax_number": "508-503-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "ALEX",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "MPH, FNP/PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2323907",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2323907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.