Active NPI
David CHI Song Weng, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1124102504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 169090
- Practice address
- 27 W 95TH St
New York, NY 10025-6753 - Phone
- (212) 678-4343
- NPI assigned
- Oct 24, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 169090 | NY | Primary |
Addresses
Primary practice location
27 W 95TH St
New York, NY 10025-6753
Mailing address
27 W 95TH St
New York, NY 10025-6753
Phone (212) 678-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01130221 | Medicaid | NY |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091027000192 | NY | Practitioner - Psychiatry | 1456498377 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Icahn School of Medicine at Mount Sinai, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
27 W 95TH St
New York, NY 10025-6753
Phone (212) 678-4343
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169090 | NY | MD | Psychiatry Physician |
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": "1124102504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 W 95TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256753",
"telephone_number": "212-678-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 W 95TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256753",
"telephone_number": "212-678-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENG",
"first_name": "DAVID",
"middle_name": "CHI SONG",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "169090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01130221",
"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 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; Order and Referring.
- 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.