Individual provider Active NPI

Jonathan Weiser, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1699739862
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60400904 Issued in WA
Practice address
478 E 9TH St
Brooklyn, NY 11218-5200
Phone
(718) 757-8201
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60400904 WA Primary

Addresses

Primary practice location

478 E 9TH St
Brooklyn, NY 11218-5200

Mailing address

478 E 9TH St
Brooklyn, NY 11218-5200
Phone (718) 757-8201

Other identifiers 1

IdentifierTypeStateIssuer
02685789MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 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
I20090403000079 NM Practitioner - Family Practice 8022030857 Reassigns benefits to 1 organization
I20211019003093 AZ Practitioner - Family Practice 8022030857 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Practice addresses (Care Compare)

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Hospital & facility affiliations

  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
  • Banner Payson Medical Center Hospital, Payson, AZ, CCN 031318

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jul 1, 2024 Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Mar 1, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 1, 2021 Accepting new patients
Apogee Medical Group Inc CurrentSince Mar 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jul 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
United Medical Associates,PLLC Past Accepting new patients
Jeremiah M Gelles, MD PC Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: weiser.jonathan@direct.azkrmc.md
  • Direct secure messaging: weiser.jonathan@st.direct.azkrmc.md

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1699739862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185200",
            "telephone_number": "718-757-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 E 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185200",
            "telephone_number": "718-757-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISER",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60400904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.