NPIMap

Organization Active NPI

Von Weiss Dermatology Center

  • Facial Plastic Surgery Physician
  • Salem, MA
National Provider Identifier
1699790055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
223076 Issued in MA
Legal business name
VON WEISS DERMATOLOGY CENTER
Practice address
107 Highland Ave
Salem, MA 01970-2721
Phone
(978) 744-3223
Fax
(978) 744-7012
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeannie Hye-Joon Chung, MDNPI 1770610909
Title
Plastic Surgeon
Phone
(978) 744-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YS0123X 223076 MA Primary

Addresses

Primary practice location

107 Highland Ave
Salem, MA 01970-2721

Mailing address

107 Highland Ave
Salem, MA 01970-2721
Phone (978) 744-3223

Other identifiers 1

IdentifierTypeStateIssuer
2081300MedicaidMA

Other names 1

  • JOHN VON WEISS MD INC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699790055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702721",
            "telephone_number": "978-744-3223",
            "fax_number": "978-744-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702721",
            "telephone_number": "978-744-3223",
            "fax_number": "978-744-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VON WEISS DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "HYE-JOON",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "978-744-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MA",
            "license": "223076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2081300",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN VON WEISS MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.