Individual provider Active NPI

Scott Adam Weiss, MD

  • Sports Medicine (Internal Medicine) Physician
  • Gainesville, FL
National Provider Identifier
1043352982
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
ME141484 Issued in FL
Practice address
4500 Newberry Rd
Gainesville, FL 32607-2245
Phone
(352) 336-6000
NPI assigned
Feb 13, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 221406 NY
Sports Medicine (Internal Medicine) Physician 207RS0010X ME141484 FL Primary

Addresses

Primary practice location

4500 Newberry Rd
Gainesville, FL 32607-2245

Mailing address

4500 Newberry Rd
Gainesville, FL 32607-2245
Phone (352) 336-6000

Other identifiers 1

IdentifierTypeStateIssuer
001438656MedicaidCT

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000706 NY Practitioner - Internal MedicinePractitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2365456084 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
Tufts University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen J Nicholas MD PCGroup PAC ID 0446264931, 28 clinicians

Practice addresses (Care Compare)

159 E 74 St
New York, NY 10021-3235
Phone (212) 737-3301

672 Harless PL
West Hempstead, NY 11552-3504
Phone (917) 656-6386

672 Harless Place
West Hempstead, NY 11552-3504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221406NYMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Nicholas MD PC CurrentSince Apr 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2021 Accepting new patients
South Island Orthopedics, P.C. CurrentSince Oct 9, 2023 Accepting new patients
Stephen J Nicholas MD PC CurrentSince Apr 1, 2025 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince May 27, 2020 Accepting new patients
Gotham City Sports Medicine, PLLC CurrentSince Mar 1, 2019 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince May 27, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2021 Accepting new patients
South Island Orthopedics, P.C. CurrentSince Oct 9, 2023 Accepting new patients
Able Orthopedic and Sports Medicine P.C. Past Accepting new patients
Richard M Seldes M D P C PastSince Nov 30, 2023 Accepting new patients
Hospitalist Medicine Physician of Broome County PLLC Past Accepting new patients
Sovereign Medical Group LLC PastSince Mar 1, 2019 Accepting new patients
Foot & Ankle Clinics PA PastSince Jan 1, 2019 Accepting new patients
New York Bone and Joint Specialists, PLLC Past Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients
Brian Mayrsohn MD PLLC PastSince Nov 7, 2022 Accepting new patients

Locations

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

657 Central Ave
Cedarhurst, NY 11516
Phone (516) 374-0670

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

159 E 74th St
New York, NY 10021
Phone (212) 439-9302

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

20 E 46th St
New York, NY 10017
Phone (212) 353-0030

20 E 46th St
Rm 600
New York, NY 10017
Phone (973) 928-1325

9520 Queens Blvd
Rego Park, NY 11374
Phone (718) 459-0857

2 Overhill Rd
Ste 310
Scarsdale, NY 10583
Phone (914) 725-6970

1600 Stewart Ave
Westbury, NY 11590
Phone (516) 222-0793

1600 Stewart Ave
Ste 100
Westbury, NY 11590

205 Froehlich Farm Blvd
Woodbury, NY 11797
Phone (516) 364-0070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20311/brand/2/csg/21/fhir/r4
  • Direct secure messaging: scott.weiss.1@11998.direct.athenahealth.com
  • Direct secure messaging: scott.weiss.1@438.direct.athenahealth.com
  • Direct secure messaging: scottweiss@sunydmc.allscriptsdirect.net

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043352982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072245",
            "telephone_number": "352-336-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072245",
            "telephone_number": "352-336-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "SCOTT",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "221406",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME141484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001438656",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.