Active NPI
Benjamin Samuel Weil, RDN, RD, CDN
- Registered Dietitian
- Far Rockaway, NY
National Provider Identifier
1093234668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 008805-1
- Practice address
- 2930 Bayswater Ave FL 2
Far Rockaway, NY 11691-1730 - Phone
- (718) 249-6027
- NPI assigned
- Sep 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 008805-1 | NY | Primary |
Addresses
Primary practice location
2930 Bayswater Ave FL 2
Far Rockaway, NY 11691-1730
Mailing address
2930 Bayswater Ave FL 2
Far Rockaway, NY 11691-1730
Phone (718) 249-6027
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008805-1 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boro Park Dietitian | Dietitian, Registered | Past | Accepting new patients |
Interoperability endpoints
- bweil51606@northwell.direct-ci.com
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": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505347200000",
"number": "1093234668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 BAYSWATER AVE FL 2",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911730",
"telephone_number": "718-249-6027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 BAYSWATER AVE FL 2",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116911730",
"telephone_number": "718-249-6027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIL",
"first_name": "BENJAMIN",
"middle_name": "SAMUEL",
"credential": "RDN, RD, CDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-14",
"last_updated": "2017-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "008805-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.