Individual provider Active NPI

Marc Adam Weiskopf, MD

  • Neurology Physician
  • Peabody, MA
National Provider Identifier
1922233360
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
255992 Issued in MA
Practice address
6 Essex Center Dr
Suite 307
Peabody, MA 01960-2904
Phone
(978) 532-8010
Fax
(978) 532-8011
NPI assigned
May 28, 2009
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 255992 MA Primary

Addresses

Primary practice location

6 Essex Center Dr
Suite 307
Peabody, MA 01960-2904

Mailing address

6 Essex Center Dr
Suite 307
Peabody, MA 01960-2904
Phone (978) 532-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205000265 MA Practitioner - Neurology 1052691318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of New York at Buffalo School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Essex Neurological Associates PCGroup PAC ID 6901990704, 3 clinicians

Practice addresses (Care Compare)

6 Essex Ctr Dr
Suite 307
Peabody, MA 01960-2905
Phone 9785328010110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Essex Neurological Associates PC Neurology CurrentSince Oct 14, 2016 Accepting new patients
Essex Neurological Associates Neurology PastSince Oct 14, 2016 Accepting new patients

Locations

6 Essex Center Dr
Ste 307
Peabody, MA 01960
Phone (508) 532-2800

Interoperability endpoints

  • Direct secure messaging: weiskopf.marc.essx@direct.partners.masshiway.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1922233360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 307",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602904",
            "telephone_number": "978-532-8010",
            "fax_number": "978-532-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 307",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602904",
            "telephone_number": "978-532-8010",
            "fax_number": "978-532-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISKOPF",
        "first_name": "MARC",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "255992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.