Individual provider Active NPI

Joseph Weber-Lopez, MD

  • Sports Medicine (Family Medicine) Physician
  • Huntington, NY
National Provider Identifier
1134431554
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
276754 Issued in NY
Practice address
158 E Main St Ste 3
Huntington, NY 11743-2988
Phone
(631) 944-3020
Fax
(631) 944-3022
NPI assigned
Jul 14, 2010
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 276754 NY Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MA09317900 NJ

Addresses

Primary practice location

158 E Main St Ste 3
Huntington, NY 11743-2988

Mailing address

158 E Main St Ste 3
Huntington, NY 11743-2988
Phone (631) 944-3020

Other practice location 1

26 Maryland Ave
Long Beach, NY 11561-1247
Phone (516) 669-6166

Other practice location 2

10 Medical Plz
Suite 103
Glen Cove, NY 11542
Phone (516) 671-4110

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006000892 NY Practitioner - Sports MedicinePractitioner - Family Practice 3779703285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

158 E Main St
Suite 3
Huntington, NY 11743-2988
Phone (631) 944-3020

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Humc Opco LLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 20, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 20, 2018 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Propeak Sports Medicine LLC Sports Medicine CurrentSince Feb 24, 2019 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

158 E Main St
Ste 3
Huntington, NY 11743
Phone (631) 944-3020

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19465/brand/1/csg/1/fhir/r4
  • Direct secure messaging: joseph.weber-lopez.1@19465.direct.athenahealth.com
  • Direct secure messaging: joseph.weber.lopez.1@2983.direct.athenahealth.com
  • Direct secure messaging: joseph.weberlopez@direct.hobokenumc.md

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1134431554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST STE 3",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-944-3020",
            "fax_number": "631-944-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E MAIN ST STE 3",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432988",
            "telephone_number": "631-944-3020",
            "fax_number": "631-944-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115611247",
            "country_code": "US",
            "telephone_number": "516-669-6166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Medical Plz",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "11542",
            "country_code": "US",
            "telephone_number": "516-671-4110",
            "fax_number": "516-759-4069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBER-LOPEZ",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "276754",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MA09317900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.