Organization Active NPI

David J.Weissberg,MD,PC

  • Specialist
  • Huntington Station, NY
National Provider Identifier
1093018913
Registry record updated Dec 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
146514 Issued in NY
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

Updated by the provider on Dec 25, 2019

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.