Individual provider Active NPI

Rachael Alysanne Weiss, DDS

  • Periodontics
  • Roslyn, NY
National Provider Identifier
1073489670
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
065095 Issued in NY
Practice address
1044 Northern Blvd Ste 106
Roslyn, NY 11576-1507
Phone
(516) 625-0088
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 065095 NY Primary

Addresses

Primary practice location

1044 Northern Blvd Ste 106
Roslyn, NY 11576-1507

Mailing address

808 Columbus Ave Apt 16E
New York, NY 10025-5160
Phone (609) 774-8380

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
065095NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Family Dental Care PLLC CurrentSince Oct 21, 2025 Accepting new patients
Steven Kauftheil DDS PLLC CurrentSince Oct 11, 2020 Accepting new patients

Locations

630 5th Ave
Ste 1815
New York, NY 10111
Phone (212) 969-9490

1044 Northern Blvd
Ste 106
Roslyn, NY 11576
Phone (516) 625-0088

Organizations & group practices 2

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1073489670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 COLUMBUS AVE APT 16E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255160",
            "telephone_number": "609-774-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD STE 106",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761507",
            "telephone_number": "516-625-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "RACHAEL",
        "middle_name": "ALYSANNE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "065095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.