National Provider Identifier
Jerome A Weiss, MD
Jerome A Weiss, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Penfield, NY and a listed phone number of (585) 598-8505.
Profile Overview
- NPI
- 1952369258
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 03, 2006
- Last Updated
- January 12, 2012
Practice Location
- 2212 Penfield RD
- Suite 100
- Penfield, NY 14526-1756
Phone: (585) 598-8505
Mailing Address
- 601 Elmwood Ave
- Box 278980
- Rochester, NY 14642-0001
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1952369258
- Entity Type
- Individual
- Last Name
- Weiss
- First Name
- Jerome
- Middle Name
- A
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 278980
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 2212 Penfield RD
- Practice Address Line 2
- Suite 100
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1756
- Practice Country
- US
- Practice Phone
- (585) 598-8505
- Practice Fax
- (585) 598-8127
- Enumeration Date
- May 03, 2006
- Last Updated
- January 12, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 0195677 (NY, Iha #), 051007000048 (NY, Fidelis Care #), 00027146401 (NY, Univera #), 134580-0W (NY, Workers Comp #), 100826BJ (NY, Preferred Care #), 9137 (NY, Sidney Hillman #), P010134580 (NY, Blue Choice #)