Organization Active NPI

Oceanside Medical,PA

  • Legal Medicine
  • Belfast, ME
National Provider Identifier
1073676425
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
013771 Issued in ME
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

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Dr. Robert Daniel Weiss, MDNPI 1538150503
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)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
133070000MedicaidME

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.