Organization Active NPI

John J. Weiter, M.D., PH.D.

  • Ophthalmology Physician
  • Peabody, MA
National Provider Identifier
1811145923
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
37856 Issued in MA
Legal business name
JOHN J. WEITER, M.D., PH.D.
Practice address
39 Cross St Ste 201
Peabody, MA 01960-1666
Phone
(978) 854-5090
Fax
(978) 854-5755
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. John J. Weiter, M.D., PH.D.NPI 1992795421
Title
President
Phone
(617) 864-6350

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 37856 MA Primary

Addresses

Primary practice location

39 Cross St Ste 201
Peabody, MA 01960-1666

Mailing address

39 Cross St Ste 201
Peabody, MA 01960-1666
Phone (978) 854-5090

National Provider Directory

National Provider Directory
Tax ID family
John J Weiter MD PHD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2285 Massachusetts Ave
Ste 201
Cambridge, MA 02140

39 Cross St
Ste 201
Peabody, MA 01960
Phone (978) 682-1116

Practitioners & affiliated clinicians

Practitioners 1

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": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1811145923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CROSS ST STE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601666",
            "telephone_number": "978-854-5090",
            "fax_number": "978-854-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CROSS ST STE 201",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601666",
            "telephone_number": "978-854-5090",
            "fax_number": "978-854-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. WEITER, M.D., PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "WEITER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-864-6350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "37856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.