Active NPIIndividual provider

Nicole Weist

Physician Assistant in Burlington Township, New Jersey

NPI Number1417419797
Practice location
911 Sunset RD, Burlington Township, NJ 08016-2250
Fax
609-386-8640
Last updated
July 6, 2025

Nicole Weist is a Physician Assistant based in Burlington Township, NJ. Nicole Weist practices in Burlington Township, NJ. The NPI Number for Nicole Weist is 1417419797 and holds a License No. 25MP00513000 (NJ). The current practice location address for Nicole Weist is 911 Sunset RD, Burlington Township, NJ 08016-2250 and can be reached out via phone at 609-387-8787 and via fax at 609-386-8640.

Provider Profile Details

NPI Number
1417419797
Provider Name
Nicole Weist
Provider Entity Type
Individual
Gender
Female
Address
911 Sunset RD, Burlington Township, NJ 08016-2250
Phone Number
609-387-8787
Fax Number
609-386-8640
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Nicole Brandt-Park (Other Name)
Provider Enumeration Date
April 4, 2019
Last Update Date
July 6, 2025
Certification Date
July 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
911 Sunset RD
Burlington Township, NJ 08016-2250
Zip
08016-2250
Phone Number
609-387-8787
Fax Number
609-386-8640
Burlington Township, NJ 08016Get directions →

Provider Business Mailing Address Details

Address
911 Sunset RD
Burlington Township, NJ 08016-2250
City
Burlington Township
State
NJ
Zip
08016-2250
Phone Number
609-387-8787
Fax Number
609-386-8640

License Information

License Number (1)
25MP00513000
License State (1)
NJ
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
25MP00513000
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Weist?

The NPI number of Nicole Weist is 1417419797. It was assigned on April 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Nicole Weist?

Nicole Weist is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00513000.

Where does Nicole Weist practice?

The practice location is 911 Sunset RD, Burlington Township, NJ 08016-2250. The office can be reached at 609-387-8787 (phone) or 609-386-8640 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417419797 directly on the NPPES registry website.

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