Active NPI
Kendra Leigh Weissberger
- Family Nurse Practitioner
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 640013
- Practice address
- 1983 Marcus Ave Ste C102
New Hyde Park, NY 11042-2006 - Phone
- (516) 876-4100
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 640013 | NY | Primary |
Addresses
Primary practice location
1983 Marcus Ave Ste C102
New Hyde Park, NY 11042-2006
Mailing address
600 Community Dr Ste 400
Manhasset, NY 11030-3802
Phone (516) 876-4100
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 640013 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical Group P.C. | Current | Accepting new patients | |
| Solaiman Chowdhury Medical Care PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Past | Accepting new patients |
Locations
126 E Main St
Ste 1
East Islip, NY 11730
Phone (631) 277-8367
600 Community Dr
Ste 400
Manhasset, NY 11030
Phone (516) 600-1100
1983 Marcus Ave
Ste C102
New Hyde Park, NY 11042
Phone (516) 872-4100
27005 76th Ave
North New Hyde Pk, NY 11040
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kendraweissberger@nslijmedgr.allscriptsdirect.net
Organizations & group practices 4
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.
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- NPI 1942666557
-
- Internal Medicine Physician
- East Islip, NY
- NPI 1366186157
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1720775083
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1124514708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 COMMUNITY DR STE 400",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303802",
"telephone_number": "516-876-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1983 MARCUS AVE STE C102",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110422006",
"telephone_number": "516-876-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSBERGER",
"first_name": "KENDRA",
"middle_name": "LEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "640013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.