Simon Weitzman LLC
Simon Weitzman LLC is a healthcare organization registered as Primary Care Clinic/Center in Needham, MA, holding Type 2 (organization) NPI 1174763619 since 2009. The authorized official on file is Kristin Gillis, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174763619 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Simon Weitzman LLC |
| Practice address | 105 CHESTNUT ST, Needham, MA, 02492 |
| Phone | 7814449080 |
| Enumeration date | 2009-02-24 |
| Last updated in NPPES | 2009-07-14 |
Authorized official
| Name | Kristin Gillis |
|---|---|
| Title | Manager |
| Phone | 7814449080 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 41758 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2062011 | Medicaid | MA | — |
Copy-ready billing details
Provider: Simon Weitzman LLC NPI: 1174763619 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 105 CHESTNUT ST, Needham, MA, 02492
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1093705626 | Jacqueline Feuer | Individual | Internal Medicine Physician | Needham, MA |
| 1235112236 | Deanna Ricker | Individual | Ophthalmology Physician | Needham, MA |
| 1598732661 | John Baldwin | Individual | Clinical Psychologist | Needham, MA |
| 1194765628 | David Stormberg | Individual | Psychiatry Physician | Needham, MA |
| 1306856083 | Marc Magier | Individual | General Practice Dentistry | Needham, MA |
| 1407962525 | Otto Todorov | Individual | Chiropractor | Needham, MA |
| 1063550176 | Lisa Kane | Individual | General Practice Dentistry | Needham, MA |
| 1780807859 | Internists Associated, P.C. | Organization | Primary Care Clinic/Center | Needham, MA |
Verify this record
Cross-check NPI 1174763619 against the authoritative CMS record: view Simon Weitzman LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Simon Weitzman LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2009-07-14.