Active NPI
Joseph Weisberg, PHD PT
- Physical Therapist
- Great Neck, NY
National Provider Identifier
1003879990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0030671
- Practice address
- 1 Larch Dr
Great Neck, NY 11021 - Phone
- (516) 482-8016
- Fax
- (516) 482-8016
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0030671 | NY | Primary |
Addresses
Primary practice location
1 Larch Dr
Great Neck, NY 11021
Mailing address
1 Larch Dr
Great Neck, NY 11021
Phone (516) 482-8016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400031 | Other | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0030671 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1003879990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LARCH DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-482-8016",
"fax_number": "516-482-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LARCH DR",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-482-8016",
"fax_number": "516-482-8016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISBERG",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0030671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A400031",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.