Active NPI
Martin Weisberg, MD
- Gynecology Physician
- Jenkintown, PA
National Provider Identifier
1821136169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD014360E
- Practice address
- 1645 Noble Cir
Jenkintown, PA 19046-1566 - Phone
- (215) 350-1188
- Fax
- (215) 635-1576
- NPI assigned
- Feb 1, 2007
- Reactivated
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD014360E | PA | Primary |
Addresses
Primary practice location
1645 Noble Cir
Jenkintown, PA 19046-1566
Mailing address
1645 Noble Cir
Jenkintown, PA 19046-1566
Phone (215) 350-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD014360E | PA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1821136169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1645 NOBLE CIR",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190461566",
"telephone_number": "215-350-1188",
"fax_number": "215-635-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 NOBLE CIR",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190461566",
"telephone_number": "215-350-1188",
"fax_number": "215-635-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISBERG",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"deactivation_date": "2011-03-31",
"reactivation_date": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PA",
"license": "MD014360E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.