Jodi Michele Welt, MS, RD, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1086480 Issued in NJ

Practice address

750 Broadway FL 2
Paterson, NJ 07514-1353

Phone

(973) 279-8850

NPI assigned

Jun 22, 2009

Last updated

Jun 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, FL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East Coast Medical Associates, Inc.Group PAC ID 9133014624, 7 clinicians

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

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.

• East Coast Medical Associates, Inc.

  • Specialist
  • Boca Raton, FL
  • NPI 1568576908
  Medicare reassignment Care Compare group NPD
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group
• Pudchong Srisethnil, MD, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Paterson, NJ
  • NPI 1952744872
  Medicare reassignment
• Comprehensive Medical Excellence

  • Physician Assistant
  • Boynton Beach, FL
  • NPI 1043986201
  NPD (past) Authorized official
• Pinnacle Healthcare LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Boynton Beach, FL
  • NPI 1417619347
  Authorized official Same address or phone
• East Coast Medical Associates, Inc

  dba David I. Levenson, M.D.

  • Specialist
  • Boca Raton, FL
  • NPI 1457410979
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1689801284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 E 28TH ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041862",
            "telephone_number": "973-769-2884",
            "fax_number": "973-278-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BROADWAY FL 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141353",
            "telephone_number": "973-279-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELT",
        "first_name": "JODI",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "1086480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois Weissman, MS, NP
• Well of Hope Community Development Corporation, Inc.
• Wellcare Pharmacy LLC
• Gwendolyn Denise Wells, CPRS
• Welness Center of Northern NJ
• Jeannette Wesseldyke, MA, CCC-SLP
• Scott Richard Wessner, DO
• West Broadway Dental PA
• Andrea Elisabeth Westkamp, MS
• Joanna W. Whalen, D.O.

• Physician Assistant in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.