Active NPIIndividual provider

Jenna R Weidman, MD

Family Medicine in Sewell, New Jersey

NPI Number1972033025
Practice location
660 Woodbury Glassboro RD Ste 26, Sewell, NJ 08080-3738
Fax
—
Last updated
November 11, 2025

Jenna Ruth Weidman is a Family Medicine based in Sewell, NJ. Jenna Ruth Weidman practices in Sewell, NJ and has the professional credentials of MD. The NPI Number for Jenna Ruth Weidman is 1972033025 and holds a License No. MT213856 (PA). The current practice location address for Jenna Ruth Weidman is 660 Woodbury Glassboro RD Ste 26, Sewell, NJ 08080-3738 and can be reached out via phone at 856-589-3708.

Provider Profile Details

NPI Number
1972033025
Provider Name
Jenna Ruth Weidman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
660 Woodbury Glassboro RD Ste 26, Sewell, NJ 08080-3738
Phone Number
856-589-3708
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Other Names
Jenna Ruth Kastan, MD (Former Name)
Provider Enumeration Date
June 12, 2017
Last Update Date
November 11, 2025
Certification Date
November 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
660 Woodbury Glassboro RD Ste 26
Sewell, NJ 08080-3738
City
Sewell
Zip
08080-3738
Phone Number
856-589-3708
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
134 Bridgeton Pike Ste C
Mullica Hill, NJ 08062-2616
City
Mullica Hill
State
NJ
Zip
08062-2616
Phone Number
856-507-2783
Fax Number
856-221-4138

License Information

License Number (1)
MT213856
License State (1)
PA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
MD470167
License State (2)
PA
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
25MA12248500
License State (3)
NJ
Taxonomy (3)
Family Medicine · 207Q00000X · 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 Jenna R Weidman, MD?

The NPI number of Jenna R Weidman, MD is 1972033025. It was assigned on June 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Jenna R Weidman, MD?

Jenna R Weidman, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PA under license number MT213856.

Where does Jenna R Weidman, MD practice?

The practice location is 660 Woodbury Glassboro RD Ste 26, Sewell, NJ 08080-3738. The office can be reached at 856-589-3708 (phone).

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 1972033025 directly on the NPPES registry website.

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