Organization Active NPI

Mark R. Weigle, MD, P.C.

  • Specialist
  • New Rochelle, NY
National Provider Identifier
1154521458
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
211099 Issued in NY
Legal business name
MARK R. WEIGLE, MD, P.C.
Practice address
140A Lockwood Ave
Suite 2
New Rochelle, NY 10801-4915
Phone
(914) 636-4466
Fax
(914) 636-0611
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Mark R. Weigle, M.D.NPI 1700896487
Title
Owner
Phone
(914) 636-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 211099 NY Primary

Addresses

Primary practice location

140A Lockwood Ave
Suite 2
New Rochelle, NY 10801-4915

Mailing address

140A Lockwood Ave
Suite 2
New Rochelle, NY 10801-4915
Phone (914) 636-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071120000266 NY Part B Supplier - Clinic/Group Practice 5698863942 Receives reassigned benefits from 3 practitioners
Practice locations: New Rochelle, NY; Yonkers, NY
O20100930057918 NY DME Supplier - Physician - General Practice 5698863942 Practice locations: New Rochelle, NY

National Provider Directory

National Provider Directory

Locations

140 Lockwood Ave
Ste 2
New Rochelle, NY 10801
Phone (914) 636-4466

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGEHCA

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1154521458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140A LOCKWOOD AVE",
            "address_2": "SUITE 2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-4466",
            "fax_number": "914-636-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140A LOCKWOOD AVE",
            "address_2": "SUITE 2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-4466",
            "fax_number": "914-636-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK R. WEIGLE, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "WEIGLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-636-4466",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "211099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.