Gary M. Weiss, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 39943 Issued in FL

Legal business name

GARY M. WEISS, M.D., P.A.

Doing business as

Weiss & Newberry Medical Associates

Practice address

1051 Port Malabar Blvd NE
Suite 6
Palm Bay, FL 32905-5153

Phone

(321) 727-9063

Fax

(321) 728-1955

NPI assigned

Aug 23, 2006

Last updated

Sep 20, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary M Weiss, M.D.NPI 1710967328

Title

President

Phone

(321) 727-9063

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Weiss & Newberry Medical Associates Doing business as

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary M Weiss, MD

  • Neurology Physician
  • Palm Bay, FL
  • NPI 1710967328
  Authorized official Same address or phone
• Whitney Legler, PSY.D.

  • Clinical Neuropsychologist
  • Vero Beach, FL
  • NPI 1558436709
  NPD (past)
• Anthony Lombardo, M.D.

  • Orthopaedic Surgery Physician
  • Melbourne, FL
  • NPI 1750382289
  NPD (past)
• Monique Lise Lynch, PAC

  • Neurology Physician
  • Melbourne, FL
  • NPI 1356569248
  NPD (past)
• Maryann Martin, N.P.

  • Acute Care Nurse Practitioner
  • Palm Bay, FL
  • NPI 1578550935
  NPD (past)
• Donald Henry Vliegenthart, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Melbourne, FL
  • NPI 1003964222
  NPD (past)
• Susan R Chapman, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, WI
  • NPI 1629036181
  NPD (past)
• Michael Newberry, M.D.

  • Addiction Psychiatry Physician
  • Blue Ridge, GA
  • NPI 1467569889

  Specialist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1003922618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PORT MALABAR BLVD NE",
            "address_2": "SUITE 6",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055153",
            "telephone_number": "321-727-9063",
            "fax_number": "321-728-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PORT MALABAR BLVD NE",
            "address_2": "SUITE 6",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055153",
            "telephone_number": "321-727-9063",
            "fax_number": "321-728-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M. WEISS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-727-9063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9168017",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2100062",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 62341",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 39943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "62367",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066754400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weiss & Newberry Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joven T. Garcia, MD
• Maria Irene Garin Spross, DDS
• Sandra Jo Garmon
• Elissa Lee Sophia Garrett
• Shelly A Garrow, DPM
• Michael M Gaskin, RPH
• Marah-Lya Gauthier
• Jennifer Gee, ARNP
• Generation Changers Life Center (Generation Changers)
• German Castro MD

• Specialist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.