Organization Active NPI

John J Weiter, MD, PC

  • Ophthalmology Physician
  • Peabody, MA
National Provider Identifier
1891033411
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JOHN J WEITER, MD, PC
Practice address
39 Cross St Ste 201
Peabody, MA 01960-1666
Phone
(978) 854-5090
Fax
(978) 854-5755
NPI assigned
Jan 17, 2013
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 Weiter, MDNPI 1992795421
Title
Owner
Phone
(978) 854-5090

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 Primary

Addresses

Primary practice location

39 Cross St Ste 201
Peabody, MA 01960-1666

Mailing address

60 East St
Methuen, MA 01844-4500
Phone (617) 864-6350

Other practice location 1

100 Milk St Ste 7
Methuen, MA 01844-4600
Phone (978) 854-5090

Other practice location 2

1 Washington St Ste 304
Wellesley, MA 02481-1706
Phone (978) 854-5090

Other names 1

  • RETINA CONSULTANTS OF GREATER BOSTON, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130411000343 MA Part B Supplier - Clinic/Group Practice 4789820010 Receives reassigned benefits from 3 practitioners
Practice locations: Methuen, MA; Peabody, MA

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

60 East St
Methuen, MA 01844
Phone (978) 687-0151

100 Milk St
Ste 202
Methuen, MA 01844
Phone (978) 854-5090

100 Milk St
Ste 7
Methuen, MA 01844
Phone (978) 854-5090

100 Milk St
Methuen, MA 01844
Phone (978) 685-0659

1 Washington St
Wellesley Hls, MA 02481
Phone (781) 263-7360

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1891033411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "617-864-6350"
        },
        {
            "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": [
        {
            "address_1": "100 Milk St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018444600",
            "country_code": "US",
            "telephone_number": "978-854-5090",
            "fax_number": "978-984-7158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Washington St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024811706",
            "country_code": "US",
            "telephone_number": "978-854-5090",
            "fax_number": "978-854-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHN J WEITER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "WEITER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-854-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RETINA CONSULTANTS OF GREATER BOSTON, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • 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.