Active NPI
Larry J. Weiner, MD
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1043254147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 175517
- Practice address
- 58 W 70TH St
Suite 7
New York, NY 10023-4619 - Phone
- (212) 362-0030
- NPI assigned
- Jun 16, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 175517 | NY | |
| Anesthesiology Physician | 207L00000X | 175517 | NY | Primary |
| Neurology Physician | 2084N0400X | 175517 | NY |
Addresses
Primary practice location
58 W 70TH St
Suite 7
New York, NY 10023-4619
Mailing address
58 W 70TH St
Suite 7
New York, NY 10023-4619
Phone (212) 362-0030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01777499 | Medicaid | NY |
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 Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modern Medical PLLC | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1043254147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 W 70TH ST",
"address_2": "SUITE 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234619",
"telephone_number": "212-362-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 W 70TH ST",
"address_2": "SUITE 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234619",
"telephone_number": "212-362-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "LARRY",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NY",
"license": "175517",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "175517",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "175517",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01777499",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.