Active NPI
Stephen S Weinberg, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1124099254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005201-1
- Practice address
- 50 Lexington Ave
#LL3
New York, NY 10010-2935 - Phone
- (212) 995-1515
- Fax
- (212) 995-2335
- NPI assigned
- Jan 27, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X005201-1 | NY | Primary |
Addresses
Primary practice location
50 Lexington Ave
#LL3
New York, NY 10010-2935
Mailing address
50 Lexington Ave
#LL3
New York, NY 10010-2935
Phone (212) 995-1515
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133542171 | Other | NY | MPN |
| 0012122 | Other | NY | GHI |
| 133542171 | Other | NY | UNITED HEALTHCARE |
| P2095240 | Other | NY | OXFORD |
| C05201-1 | Other | NY | WORKERS COMPENSATION |
| 133542171 | Other | NY | AETNA |
| 133542171 | Other | NY | EMPIRE BLUE CROSS |
| 526578 | Other | NY | AETNA |
| 133542171 | Other | NY | LANDMARK |
| 133542171 | Other | NY | CIGNA |
| 133542171 | Other | NY | ASHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041117001083 | NY | Practitioner - Chiropractic | 8729042874 | Practice locations: New York, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X005201-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288915200000",
"number": "1124099254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LEXINGTON AVE",
"address_2": "#LL3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102935",
"telephone_number": "212-995-1515",
"fax_number": "212-995-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LEXINGTON AVE",
"address_2": "#LL3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102935",
"telephone_number": "212-995-1515",
"fax_number": "212-995-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "STEPHEN",
"middle_name": "S",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2010-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005201-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "133542171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0012122",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "133542171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2095240",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION",
"identifier": "C05201-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "133542171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "133542171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "526578",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK",
"identifier": "133542171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "133542171",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "133542171",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.