Active NPI
Oceanside Medical,PA
- Legal Medicine
- Belfast, ME
National Provider Identifier
1073676425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 013771
- Legal business name
- OCEANSIDE MEDICAL,PA
- Practice address
- 116 Northport Ave
Suite 212
Belfast, ME 04915-6095 - Phone
- (207) 338-9968
- Fax
- (207) 338-0332
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Daniel Weiss, MD
- Title
- President
- Phone
- (207) 338-9968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 013771 | ME | Primary |
Addresses
Primary practice location
116 Northport Ave
Suite 212
Belfast, ME 04915-6095
Mailing address
116 Northport Ave
Suite 212
Belfast, ME 04915-6095
Phone (207) 338-9968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133070000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryLocations
116 Northport Ave
Ste 212
Belfast, ME 04915
Phone (207) 338-9968
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bar Harbor, ME
- NPI 1538150503
-
- Family Nurse Practitioner
- Belfast, ME
- NPI 1699852350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230595200000",
"number": "1073676425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 NORTHPORT AVE",
"address_2": "SUITE 212",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156095",
"telephone_number": "207-338-9968",
"fax_number": "207-338-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 NORTHPORT AVE",
"address_2": "SUITE 212",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156095",
"telephone_number": "207-338-9968",
"fax_number": "207-338-0332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCEANSIDE MEDICAL,PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2008-12-30",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-338-9968",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "ME",
"license": "013771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133070000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.