Active NPI
David J.Weissberg,MD,PC
- Specialist
- Huntington Station, NY
National Provider Identifier
1093018913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 146514
- Legal business name
- DAVID J.WEISSBERG,MD,PC
- Practice address
- 379 Oakwood Rd
Suite C
Huntington Station, NY 11746-7203 - Phone
- (631) 351-0295
- NPI assigned
- Dec 15, 2010
- 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
- Nancy Bayley
- Title
- Office Manager
- Phone
- (631) 351-0295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 146514 | NY | Primary |
Addresses
Primary practice location
379 Oakwood Rd
Suite C
Huntington Station, NY 11746-7203
Mailing address
379 Oakwood Rd
Suite C
Huntington Station, NY 11746-7203
Phone (631) 351-0295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110301000005 | NY | Part B Supplier - Clinic/Group Practice | 9537360151 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment Practice locations: West Islip, NY; Woodbury, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Huntington Station, NY
- NPI 1821276577
O20110301000005
National Provider Directory
National Provider DirectoryLocations
379 Oakwood Rd
Ste C
Huntington Station, NY 11746
Phone (631) 351-0295
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Hand Surgery Physician
- Smithtown, NY
- NPI 1568781268
-
- Orthopaedic Surgery Physician
- Woodbury, NY
- NPI 1720013097
-
- Surgical Physician Assistant
- Bronx, NY
- NPI 1558396127
-
- Physician Assistant
- Huntington Station, NY
- NPI 1376243592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577232000000",
"number": "1093018913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 OAKWOOD RD",
"address_2": "SUITE C",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117467203",
"telephone_number": "631-351-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 OAKWOOD RD",
"address_2": "SUITE C",
"city": "HUNTINGTON STATION",
"state": "NY",
"postal_code": "117467203",
"telephone_number": "631-351-0295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J.WEISSBERG,MD,PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-15",
"last_updated": "2019-12-25",
"certification_date": "2019-12-25",
"status": "A",
"authorized_official_last_name": "BAYLEY",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-351-0295"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "146514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; 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.