Organization Active NPI

Weiss Foot and Ankle Center

  • Podiatrist
  • Hammonton, NJ
National Provider Identifier
1790821015
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MD002582 Issued in NJ
Legal business name
WEISS FOOT AND ANKLE CENTER
Practice address
777 S White Horse Pike
Suite D1
Hammonton, NJ 08037-2029
Phone
(609) 561-2488
Fax
(609) 561-2748
NPI assigned
Jan 30, 2007
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Dr. David L Weiss, D.P.MNPI 1376501486
Title
Physician
Phone
(609) 561-2488

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X MD002582 NJ Primary

Addresses

Primary practice location

777 S White Horse Pike
Suite D1
Hammonton, NJ 08037-2029

Mailing address

777 S White Horse Pike
Suite D1
Hammonton, NJ 08037-2029
Phone (609) 561-2488

Other identifiers 1

IdentifierTypeStateIssuer
8334501MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930018803 NJ DME Supplier - Physician - Podiatry 3274742317 Practice locations: Hammonton, NJ
O20130628000670 NJ Part B Supplier - Clinic/Group Practice 3274742317 Receives reassigned benefits from 1 practitioner
Practice locations: Hammonton, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1790821015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE",
            "address_2": "SUITE D1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "609-561-2488",
            "fax_number": "609-561-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S WHITE HORSE PIKE",
            "address_2": "SUITE D1",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372029",
            "telephone_number": "609-561-2488",
            "fax_number": "609-561-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS FOOT AND ANKLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "609-561-2488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD002582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8334501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.