Organization Active NPI

Jessica Weiser, M.D., PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1831751379
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JESSICA WEISER, M.D., PLLC
Practice address
155 Spring St FL 5
New York, NY 10012-5208
Phone
(914) 582-9630
NPI assigned
Jul 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Dr. Jessica Weiser, MDNPI 1619172541
Title
Founder and Medical Director
Phone
(914) 582-9630

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

155 Spring St FL 5
New York, NY 10012-5208

Mailing address

65 Central Park W Apt 10a
New York, NY 10023-6010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Weiserskin.ema.md

National Provider Directory

National Provider Directory

Locations

155 Spring St
Fl 5
New York, NY 10012
Phone (646) 850-1002

Practitioners & affiliated clinicians

Practitioners 2

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": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1831751379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CENTRAL PARK W APT 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SPRING ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125208",
            "telephone_number": "914-582-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA WEISER, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "WEISER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "FOUNDER AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "914-582-9630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Weiserskin.ema.md",
            "affiliation": "N",
            "address_1": "155 Spring St Fl 5",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100125208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.