Jill D. Weintraub, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

216398 Issued in NY

Practice address

30 Doris LN
Mamaroneck, NY 10543-1000

Phone

(917) 658-0649

Fax

(914) 223-7006

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jill Landis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Specialty

RheumatologyAlso: Interventional Pain Management

Education

Albert Einstein College of Medicine of Yeshiva University, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Avenue Medical Associates, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1730138645
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1134303654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DORIS LN",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431000",
            "telephone_number": "917-658-0649",
            "fax_number": "914-682-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DORIS LN",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431000",
            "telephone_number": "917-658-0649",
            "fax_number": "914-223-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "JILL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "216398",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "216398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "LANDIS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Walsh, DPT
• Ye Wang, MD
• Lisa Wauchope-Greenland
• Wei Zheng Shen Acupuncture PC
• Weill Medical College of Cornell University (933 Mamaroneck SShore Group)
• Barbara Weiss, M.S. L. AC.
• Marcie D. Welsh, OD
• Westchester Family Care Inc.
• Sabrina Whigg
• Wholehearted Creative Arts Therapy PLLC

• Rheumatology Physician in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• 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.