Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason Daniel Weiden, MD

Individual provider Diagnostic Radiology Physician · NPI 1235379017

Jason Daniel Weiden, MD is a Diagnostic Radiology in Bronx, New York. Qualified in 2004, 22 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia and Massachusetts.

Years since qualifying
22
Licensed in
GA, MA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 E St 210 St
Bronx, NY 10467
Phone: (718) 920-4817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 64300 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 239046 (MA)

Record details

NPI number1235379017
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2009
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address60 Melrose Ave, Bergenfield, NJ 07621-2823

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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