MR. JONATHAN RALPH WEISER M.D., P.A.
NPI 1104963958
Specialist in Hollywood, FL

Q: What is Jonathan Weiser's NPI number?

The NPI number for Jonathan Weiser is 1104963958. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Jonathan Weiser's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Weiser was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2007PECOS Enrolled

3449 JOHNSON ST, HOLLYWOOD, FL 33021(954) 964-4113(954) 963-8121 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Jonathan Ralph Weiser M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JONATHAN RALPH WEISER M.D., P.A. (NPI 1104963958) is an individual specialist in Hollywood, Florida, licensed in Florida (ME62894) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104963958

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. JONATHAN RALPH WEISERCredential: M.D., P.A.

Location Address3449 JOHNSON STHollywood, FL 33021-5420

Mailing Address3449 Johnson StHollywood, FL 33021-5420 · (954) 964-4113 · Fax (954) 963-8121

Phone(954) 964-4113

Fax(954) 963-8121

Sole ProprietorYes

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104963958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME62894

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3449 JOHNSON ST, Hollywood, FL 33021

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Other Identifiers 1

Medicare UPINF39197FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jonathan Ralph Weiser M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANABEL SOLEDAD SANABRIA SMITTER APRN

Nurse Practitioner (Family)