Brian Eric Weiss (NPI# 1790046324, PAC ID# 0446557524) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1790046324 |
| PAC ID by PECOS | 0446557524 |
| Professional Enrollment ID | I20180716001061 |
| Full Name | Brian Eric Weiss |
| Organization Legal Name | NEW JERSEY UROLOGY LLC |
| Address |
15000 Midlantic Dr Suite 100 Mount Laurel NJ 08054-1573 |
| Phone Number | 8773882778 |
| Gender | M |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1456410638 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310057 | VIRTUA MEMORIAL |
| 310064 | ATLANTICARE REGIONAL MEDICAL CENTER |
| 310061 | LOURDES MEDICAL CENTER OF BURLINGTON COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 6094418146 | ATLANTICARE PHYSICIAN GROUP PA |
| 2500 English Creek Ave, Suite 909, Egg Harbor Township, NJ 08234-5587 | 6094072273 | ATLANTICARE PHYSICIAN GROUP PA |
| 15000 Midlantic Dr, Suite 100, Mount Laurel, NJ 08054-1573 | 8773882778 | NEW JERSEY UROLOGY LLC |
| Organization Legal Name | NEW JERSEY UROLOGY LLC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Smitha Tresan Thomas | Nurse Practitioner | New Jersey Urology LLC | 2401 E Evesham Rd, Suite F, Voorhees, NJ 08043-9590 |
| Christine White Cumarasamy | Urology | New Jersey Urology LLC | 6 Brighton Rd, Suite 108, Clifton, NJ 07012-1647 |
| Joseph Rozdeba | Urology | New Jersey Urology LLC | 42 Locust Ave, Suite 5, Wallington, NJ 07057-1300 |
| Russell Freid | Urology | New Jersey Urology LLC | 1103 W Sherman Ave, Suite 2b, Vineland, NJ 08360-6912 |
| Steve Lebovitch | Urology | New Jersey Urology LLC | 277 Forest Ave, Suite 206, Paramus, NJ 07652-5420 |
| William L Terens | Urology | New Jersey Urology LLC | 1515 Broad St, Suite B130, Bloomfield, NJ 07003-3085 |
| Thomas J Mueller | Urology | New Jersey Urology LLC | 36 Newark Ave, Suite 200, Belleville, NJ 07109-4121 |
| Louis C Galdieri | Urology | New Jersey Urology LLC | 375 Mount Pleasant Ave, Suite 250, West Orange, NJ 07052-2751 |
| George Klafter | Urology | New Jersey Urology LLC | 300 Grand Ave, Suite 202, Englewood, NJ 07631-6300 |
| Troy Z Sukkarieh | Urology | New Jersey Urology LLC | 36 Newark Ave, Suite 200, Belleville, NJ 07109-4121 |
| Street Address |
15000 MIDLANTIC DR SUITE 100 |
| City | MOUNT LAUREL |
| State | NJ |
| Zip | 08054-1573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reynaldo Santos | Anesthesiology | Delaware Valley Anesthesia Associates PC | 15000 Midlantic Dr, Suite 110, Mount Laurel, NJ 08054-1573 |
| Natalie Wong | Pain Management | Ra Pain Services Pa | 15000 Midlantic Dr, Suite 102, Mount Laurel, NJ 08054-1573 |
| John J Kravitz | Gastroenterology | The Gastroenterology Group, P.a. | 15000 Midlantic Dr, Suite 110, Mount Laurel, NJ 08054-1573 |
| Richard Domsky | Pain Management | Ra Pain Services Pa | 15000 Midlantic Dr, Suite 102, Mount Laurel, NJ 08054-1573 |
| Charles M Mccabe | Chiropractic | 15000 Midlantic Dr, Suite 102, Mount Laurel, NJ 08054-1573 | |
| Frank E Rizzo | Anesthesiology | Delaware Valley Anesthesia Associates, PC | 15000 Midlantic Dr, Mount Laurel, NJ 08054-1573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Testaiuti | Neurosurgery | Coastal Spine PC | 715 Fellowship Rd, Suite A, Mount Laurel, NJ 08054-1052 |
| Rosalie Marinari | Dermatology | Dermatology Associates of South Jersey, L.L.C. | 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052 |
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Kyriaki Revenidis | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Yohan Lee | Chiropractic | 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105 | |
| Find all physicians in zip 08054 | |||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
| Specialty | UROLOGY |
| City + Specialty | MOUNT LAUREL + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.