Individual provider Active NPI

Miriam Weitzner, FNP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1104531201
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350582 Issued in NY
Practice address
1240 E 7TH St Apt 3
Brooklyn, NY 11230-4066
Phone
(347) 769-0590
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350582 NY Primary

Addresses

Primary practice location

1240 E 7TH St Apt 3
Brooklyn, NY 11230-4066

Mailing address

1240 E 7TH St Apt 3
Brooklyn, NY 11230-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509000595 NY Practitioner - Nurse Practitioner 3779942602 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince May 5, 2024 Accepting new patients
New York University CurrentSince May 5, 2024 Accepting new patients
New York University Current Accepting new patients
New York University CurrentSince Jan 1, 2025 Accepting new patients
Crescent Medical Group PC PastSince Mar 28, 2023 Accepting new patients

Locations

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: mweitzner252793@nyumc.direct-ci.com

Organizations & group practices 5

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1104531201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 7TH ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 7TH ST APT 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304066",
            "telephone_number": "347-769-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZNER",
        "first_name": "MIRIAM",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.