DR. KERRY IRA WEISS (NPI# 1477518306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477518306 |
| Entity Type | Individual |
| Full Name | DR. KERRY IRA WEISS |
| Credential | MD |
| Practice Address |
254 Easton Ave New Brunswick NJ 08901-1766 |
| Mailing Address |
2 Constitution Ct Apt 807 Hoboken NJ 07030-6729 |
| Practice Telephone | 7325655448 |
| Practice Fax Number | 7327458725 |
| Mailing Telephone | 3128982258 |
| Mailing Fax Number | 2015264211 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
159566-01 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD039280L | PA | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MA58982 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001103307 | 05 | |
| NJ | 5365805 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 308 Willow Ave, Hoboken, NJ 070303808 | 2014181674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629230420 | Kerry L Weiss | Physical Therapist | 2929 Sw Cornell Ave, Palm City, FL 34990-2955 | 2008-07-02 |
| Street Address |
254 EASTON AVE |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112859 | Kathy O Covert | Nurse Practitioner | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2005-05-24 |
| 1033710173 | William Andres Vasquez Espinosa | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-05 |
| 1639770746 | Andrea Santos | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-04 |
| 1548861651 | Shikha Jha | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-04 |
| 1497354682 | Andres Calderon | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-10-20 |
| 1023623311 | Tamanna Mahesh Kumar Chandak | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-09-13 |
| 1972117786 | Sreelakshmi Chettoor Janardhanan | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-08-31 |
| 1487262416 | Jan Carol Hader | Social Worker | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-07-15 |
| 1083238828 | Suyansh Sharma | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-06-07 |
| 1447874623 | Gwendolyn Morkorhn Delbridge | Nurse Practitioner | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790126183 | Marwa A Khalil | Pediatrics | 1 Robert Wood Johnson Pl # 08901, Meb-312, New Brunswick, NJ 08901-1928 | 2013-07-13 |
| 1437100070 | Waseem Akhter | Pediatrics | 51 French St # 303, New Brunswick, NJ 08901-1921 | 2006-05-15 |
| 1174586739 | Sridhar Kaushik | Pediatrics | One Robert Wood Johnson Place, Robert Wood Johnson Medical Group, Dept of Pediatrics, New Brunswick, NJ 08901 | 2006-04-06 |
| 1144669714 | Michael Melek | Pediatrics | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2013-06-17 |
| 1669769170 | Neera Prakash | Pediatrics | 254 Easton Ave, New Brunswick, NJ 08901 | 2011-07-05 |
| 1194957126 | Fares Brnouti | Pediatrics | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2009-08-08 |
| 1124257787 | Suganya Kathiravan | Pediatrics | 1 Robert Wood Johnson Pl, Bristol-myers Squibb Childrens Hospital At Rwjuh, New Brunswick, NJ 08901-1928 | 2009-07-03 |
| 1598963456 | Jayshree Savla | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson Medical Center, New Brunswick, NJ 08901-1928 | 2007-07-03 |
| 1629198783 | Lakshmi P Uppaluri | Pediatrics | 89 French St, 2nd Floor, New Brunswick, NJ 08901-1935 | 2007-03-30 |
| 1649307091 | Naureen Memon | Pediatrics | 1 Robert Wood Johnson Pl, Meb 312, New Brunswick, NJ 08901-1928 | 2007-02-27 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.