DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JUSTIN WEILERT NP

MEDICARE: JUSTIN WEILERT NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner350195NY
2163W00000XRegistered Nurse750339NY

General Provider Information

NPI Number : 1922625383
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN WEILERT NP
Provider Business Mailing Address
First Line : 904 E SHORE DR
Second Line :
City : ITHACA
State : NY
Zip : 14850-1026
Country : US
Telephone Number : 607-257-6563
Fax Number :
Provider Business Practice Location Address
First Line : 904 E SHORE DR
Second Line :
City : ITHACA
State : NY
Zip : 14850-1026
Country : US
Telephone Number : 607-257-6563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 06/15/2026

Similar Medicare Providers

1982671442 — JULIE DK MCNAIRN MD
Practice Location Address:
904 E SHORE DR
ITHACA, NY
14850-1026
Practice Phone: 607-257-6563
Practice Fax: 607-257-1420
1700864881 — DR. RIZWAN KHAN M.D.
Practice Location Address:
904 E SHORE DR
ITHACA, NY
14850-1026
Practice Phone: 607-257-6563
Practice Fax:
1356355275 — DR. MARIAH MAGARGEE PIERETTI M.D.
Practice Location Address:
904 E SHORE DR
ITHACA, NY
14850-1026
Practice Phone: 917-669-4198
Practice Fax:
1063503191 — ASTHMA & ALLERGY ASSOCIATES P.C.
Practice Location Address:
904 E SHORE DR
ITHACA, NY
14850-1026
Practice Phone: 607-257-6563
Practice Fax: 607-257-1420
1740675586 — SHION DONAHUE PA-C
Practice Location Address:
904 E SHORE DR
ITHACA, NY
14850-1026
Practice Phone: 607-257-6563
Practice Fax:
1093371429 — ERIC MICHAEL JORGENSEN MD
Practice Location Address:
904 E SHORE DR
ITHACA, NY
14850-1026
Practice Phone: 607-257-6563
Practice Fax:

Directions to “ JUSTIN WEILERT NP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.