Individual provider Active NPI

Stuart Craig Weitzman, DC

  • Chiropractor
  • Bedford Hills, NY
National Provider Identifier
1104900414
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9291NY Issued in NY
Practice address
85 Adams St
Bedford Hills, NY 10507-1819
Phone
(914) 242-8810
Fax
(914) 241-8719
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9291NY NY Primary

Addresses

Primary practice location

85 Adams St
Bedford Hills, NY 10507-1819

Mailing address

85 Adams St
Bedford Hills, NY 10507-1819
Phone (914) 242-8810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000107 NY Practitioner - Chiropractic 1850379892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

85 Adams St
Bedford Hills, NY 10507-1819
Phone (914) 242-8810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9291NYNYMDChiropractor
009291NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bedford Hills Family Chiropractic PC Chiropractor CurrentSince Apr 4, 2003 Accepting new patients

Locations

85 Adams St
Bedford Hills, NY 10507
Phone (914) 241-8627

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104900414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ADAMS ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071819",
            "telephone_number": "914-242-8810",
            "fax_number": "914-241-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 ADAMS ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105071819",
            "telephone_number": "914-242-8810",
            "fax_number": "914-241-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZMAN",
        "first_name": "STUART",
        "middle_name": "CRAIG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "9291NY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.