NPIMap

Organization Active NPI

Weintraub Geriatric Associates

  • Geriatric Medicine (Internal Medicine) Physician
  • South Boston, MA
National Provider Identifier
1073583944
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
WEINTRAUB GERIATRIC ASSOCIATES
Practice address
804 E 7TH St
South Boston, MA 02127-4346
Phone
(617) 268-8968
NPI assigned
Jan 24, 2006
Last updated
Nov 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
David H Weinraub, M.D.
Title
President
Phone
(617) 916-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

804 E 7TH St
South Boston, MA 02127-4346

Mailing address

31 Forest St
Newton, MA 02461-1445
Phone (617) 916-1066

Other identifiers 2

IdentifierTypeStateIssuer
DC3209OtherMARR MEDICARE
9735640MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1073583944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FOREST ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611445",
            "telephone_number": "617-916-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E 7TH ST",
            "city": "SOUTH BOSTON",
            "state": "MA",
            "postal_code": "021274346",
            "telephone_number": "617-268-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEINTRAUB GERIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "WEINRAUB",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-916-1066",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC3209",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9735640",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.