JENNIFER WEISS P.A.
NPI 1639554397
Physician Assistant - Surgical in New York, NY

Active since July 23, 2015PECOS Enrolled
12 E 87TH ST APT 1A, NEW YORK, NY 10128(212) 996-6900 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Weiss P.a. NPPES

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

JENNIFER WEISS P.A. (NPI 1639554397) is an individual surgical provider in New York, New York, licensed in New York (018653) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1639554397
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER WEISSCredential: P.A.
Location Address12 E 87TH ST APT 1ANew York, NY 10128-0501
Mailing Address143 Morgan St Apt 7bJersey City, NJ 07302-5903 · (203) 610-3135
Sole ProprietorNo
Enumeration DateJuly 23, 2015
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
NPI 1639554397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 018653
12 E 87TH ST APT 1A, New York, NY 10128

Secondary Practice Location 1

Location 11468 Madison AveNew York, NY 10029-6508 · Phone (212) 241-6500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Weiss 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 3

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

Nurse Practitioner (Family)
12 E 87TH ST APT 1A
NEW YORK, NY 10128
Dermatology
12 E 87TH ST APT 1A
NEW YORK, NY 10128
Dermatology
12 E 87TH ST APT 1A
NEW YORK, NY 10128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Weiss's NPI number?

The NPI number for Jennifer Weiss is 1639554397. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Jennifer Weiss located?

Jennifer Weiss practices at 12 E 87th St Apt 1A, New York, NY 10128. The listed phone number is (212) 996-6900.

What is Jennifer Weiss's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Weiss enrolled in Medicare?

Yes. Jennifer Weiss is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Weiss was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.