Individual provider Active NPI

Mindy S Loren-Weiner, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresh Meadows, NY
National Provider Identifier
1033208780
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400446 Issued in NY
Practice address
6732 185TH St
Fresh Meadows, NY 11365-3512
Phone
(718) 380-4989
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 330336 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400446 NY Primary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 330336 NY

Addresses

Primary practice location

6732 185TH St
Fresh Meadows, NY 11365-3512

Mailing address

6732 185TH St
Fresh Meadows, NY 11365-3512
Phone (718) 380-4989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627000787 NY Practitioner - Nurse Practitioner 6608167408 Practice locations: Fresh Meadows, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6732 185TH St
Fresh Meadows, NY 11365-3512
Phone (718) 380-4989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
330336NYMDPlastic Surgery Physician
F400446NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1033208780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 185TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653512",
            "telephone_number": "718-380-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6732 185TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653512",
            "telephone_number": "718-380-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREN-WEINER",
        "first_name": "MINDY",
        "middle_name": "S",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "330336",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400446",
            "primary": true
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "330336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.