Active NPI
Warren Stuart Zwecker, MD
- Dermatology Physician
- Jupiter, FL
National Provider Identifier
1760455646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME0039960
- Practice address
- 4495 Military TRL
Suite 204
Jupiter, FL 33458-4839 - Phone
- (561) 296-1122
- Fax
- (561) 296-5566
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME0039960 | FL | Primary |
Addresses
Primary practice location
4495 Military TRL
Suite 204
Jupiter, FL 33458-4839
Mailing address
4495 Military TRL
Suite 204
Jupiter, FL 33458-4839
Phone (561) 296-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0039960 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1760455646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 MILITARY TRL",
"address_2": "SUITE 204",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584839",
"telephone_number": "561-296-1122",
"fax_number": "561-296-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 MILITARY TRL",
"address_2": "SUITE 204",
"city": "JUPITER",
"state": "FL",
"postal_code": "334584839",
"telephone_number": "561-296-1122",
"fax_number": "561-296-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWECKER",
"first_name": "WARREN",
"middle_name": "STUART",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME0039960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.