Individual provider Active NPI

Imre Weitzner Jr., M.D,

  • Neuroradiology Physician
  • Scarsdale, NY
National Provider Identifier
1083899744
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
091332 Issued in NY
Practice address
27 Bretton Rd
Scarsdale, NY 10583-2730
Phone
(914) 472-0193
NPI assigned
Dec 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 091332 NY Primary

Addresses

Primary practice location

27 Bretton Rd
Scarsdale, NY 10583-2730

Mailing address

27 Bretton Rd
Scarsdale, NY 10583-2730
Phone (914) 472-0193

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
091332NYMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Research Associates,PC Past Accepting new patients

Organizations & group practices 1

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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1083899744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BRETTON RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832730",
            "telephone_number": "914-472-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BRETTON RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105832730",
            "telephone_number": "914-472-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZNER",
        "first_name": "IMRE",
        "name_suffix": "Jr.",
        "credential": "M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NY",
            "license": "091332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.