Individual provider Active NPI

Carol Juliet Weiss, M.D.

  • Addiction Psychiatry Physician
  • New York, NY
National Provider Identifier
1053490722
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
464 Issued in NY
Practice address
1044 Madison Ave
Penthouse 1
New York, NY 10021-0138
Phone
(212) 988-1209
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 158039 NY
Addiction Psychiatry Physician 2084P0802X 464 NY Primary

Addresses

Primary practice location

1044 Madison Ave
Penthouse 1
New York, NY 10021-0138

Mailing address

1044 Madison Ave
Penthouse 1
New York, NY 10021-0138
Phone (212) 988-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 5, 2017 through Mar 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158039NYMDPsychiatry Physician
464NYMDAddiction Psychiatry Physician

Interoperability endpoints

  • Direct secure messaging: cjw2001@direct.nyp.org

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053490722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 MADISON AVE",
            "address_2": "PENTHOUSE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210138",
            "telephone_number": "212-988-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 MADISON AVE",
            "address_2": "PENTHOUSE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100210138",
            "telephone_number": "212-988-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "CAROL",
        "middle_name": "JULIET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "158039",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NY",
            "license": "464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.