Individual provider Active NPI

Lon Steven Weiner, MD

  • Specialist
  • New York, NY
National Provider Identifier
1043310394
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
157396 1 Issued in NY
Practice address
130 E 77TH St
New York, NY 10021-1851
Phone
(212) 434-4880
Fax
(212) 434-4887
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 157396 1 NY Primary

Addresses

Primary practice location

130 E 77TH St
New York, NY 10021-1851

Mailing address

130 E 77TH St
New York, NY 10021-1851
Phone (212) 434-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080107000153 NJ Practitioner - Orthopedic Surgery 0547340317 Reassigns benefits to 1 organization
I20090806000486 NY Practitioner - Orthopedic Surgery 0547340317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Icahn School of Medicine at Mount Sinai, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 E 77TH St
New York, NY 10075-1851

80 Oak Hill Rd
Red Bank, NJ 07701-5727
Phone (732) 741-2313

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119
  • Riverview Medical Center Hospital, Red Bank, NJ, CCN 310034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
157396 1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lon Weiner MD PC Specialist CurrentSince Mar 12, 2011 Accepting new patients

Locations

80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313

130 E 77th St
Fl 12
New York, NY 10075
Phone (212) 434-4920

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

Interoperability endpoints

  • Direct secure messaging: lweiner67224@northwell.direct-ci.com
  • Direct secure messaging: lon.weiner@1203.chartlogic.direct-ci.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043310394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-434-4880",
            "fax_number": "212-434-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100211851",
            "telephone_number": "212-434-4880",
            "fax_number": "212-434-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "LON",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "157396 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.