Kevin H Weiner, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

202165 Issued in NY

Legal business name

KEVIN H WEINER, MD, PC

Practice address

2071 Clove Rd
Staten Island, NY 10304-1671

Phone

(718) 442-4422

Fax

(718) 556-3025

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Kevin H Weiner, MDNPI 1124040530

Title

Physician

Phone

(718) 442-4422

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 20

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.

• Kevin Harris Weiner, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Staten Island, NY
  • NPI 1124040530
  Medicare reassignment NPD Authorized official
• Tameka Denise Bland, FNP

  • Primary Care Nurse Practitioner
  • Newburgh, NY
  • NPI 1144743089
  Medicare reassignment NPD
• Amber Campbell, NP

  • Family Nurse Practitioner
  • Newburgh, NY
  • NPI 1023880291
  Medicare reassignment NPD
• Felix Karafin, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1508177197
  Medicare reassignment NPD
• Daniel Caputo, P.A.

  • Physician Assistant
  • Jefferson, NC
  • NPI 1336337278

  NY

  Medicare reassignment
• Megan Kathleen Arkinson, LMHC

  • Mental Health Counselor
  • Ronkonkoma, NY
  • NPI 1154631034
  NPD (past)
• Tamara Levy

  • Physical Therapist
  • New York, NY
  • NPI 1427697390
  NPD (past)
• Kerina A Maharaja, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1760155246
  NPD (past)
• Minos A Abraham

  • Family Nurse Practitioner
  • Pensacola, FL
  • NPI 1639581259
  NPD (past)
• Lisa B Ensfield, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1821172644
  NPD (past)
• Susan Hecht, LCSW-R

  • Clinical Social Worker
  • Melbourne, FL
  • NPI 1447467808
  NPD (past)
• Jennifer Renae Kljajic, LMSW

  • Clinical Social Worker
  • Harrison Township, MI
  • NPI 1346645413
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1083926976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041671",
            "telephone_number": "718-442-4422",
            "fax_number": "718-556-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041671",
            "telephone_number": "718-442-4422",
            "fax_number": "718-556-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN H WEINER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-442-4422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "202165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01900229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yelena Keselman
• Abraham Edward Kessler, MD
• Katherine Anne Kessler
• Dana Jo Ketchel, MS CCC SLP
• Patrick Kettyle, DO
• Kevin Xuereb Nurse Practitioner in Psychiatry
• Nuciratu A. Keys, CRNA
• Maya Kfoury
• Anthony B Khabut, D.O.
• Sudip Khadka, MD

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.