DR. SUSAN WEITZ JAFFE MD NPI 1851359632

NPI Information

NPI: 1851359632
Provider Name: DR. SUSAN WEITZ JAFFE, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
6000 EXECUTIVE BLVD
SUITE 300
ROCKVILLE, MD
ZIP 20852
Phone: (301) 468-8999
Get Directions

DR. Susan Weitz Jaffe, MD is a gynecology obstetrics gynecology in Rockville, MD with 47 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Susan Weitz Jaffe, MD NPI is 1851359632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

6000 EXECUTIVE BLVD
SUITE 300
ROCKVILLE, MD
ZIP 20852-803
Phone: (301) 468-8999

The NPI 1851359632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 5/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	D26641	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	625311	OTHER	MARYLAND	MAMSI PROVIDER NUMBER
2	625311	OTHER	MARYLAND	MDIPA PROVIDER NUMBER
3	4086379	OTHER	MARYLAND	AETNA HMO PROVIDER NUMBER
4	625311	OTHER	MARYLAND	ALLIANCE PROVIDER NUMBER
5	521186611	OTHER	MARYLAND	UNITED HEALTHCARE PROV #
6	606242	OTHER	MARYLAND	BSMD PROVIDER NUMBER
7	9070 0011	OTHER	MARYLAND	BSDC PROVIDER NUMBER
8	625311	OTHER	MARYLAND	OPTIMUM CHOICE PROVIDER #
9	019189	OTHER	MARYLAND	JHHC PROVIDER NUMBER
10	0634522	OTHER	MARYLAND	CIGNA PROVIDER NUMBER
11	4086379	OTHER	MARYLAND	AETNA PPO PROVIDER NUMBER
12	D05831	MEDICARE UPIN	MARYLAND
13	001063P78	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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