Individual provider Active NPI

Lily Weinstein, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1174510408
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218237 Issued in NY
Practice address
1379 54TH St
Suite 1
Brooklyn, NY 11219-4259
Phone
(718) 436-1600
Fax
(718) 436-2085
NPI assigned
Oct 3, 2005
Last updated
Feb 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218237 NY Primary

Addresses

Primary practice location

1379 54TH St
Suite 1
Brooklyn, NY 11219-4259

Mailing address

1379 54TH St
Suite 1
Brooklyn, NY 11219-4259
Phone (718) 436-1600

Other identifiers 2

IdentifierTypeStateIssuer
02129633MedicaidNY
P2498281OtherNYOXFORD

Other names 1

  • Dr. Lilya Vaynshtein Former name

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
I20040524000659 NY Practitioner - Internal Medicine 6608867098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
21St Century Medical PCGroup PAC ID 9931187465, 4 clinicians
Bay Park One Medical, PCGroup PAC ID 0749206209, 5 clinicians

Practice addresses (Care Compare)

305 Ocean View Ave
FL 2
Brooklyn, NY 11235-6826
Phone (718) 743-3100

6407 18TH Ave
Brooklyn, NY 11204-3730
Phone (718) 621-0800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218237NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Bay Park One Medical, PC CurrentSince Mar 1, 2024 Accepting new patients
Boro Park Medical P.C. Internal Medicine CurrentSince Feb 18, 2000 Accepting new patients
21St Century Medical PC CurrentSince Mar 1, 2024 Accepting new patients
Kings Medical PC PastSince Mar 16, 2007 Accepting new patients

Locations

1379 54th St
Ste 1
Brooklyn, NY 11219
Phone (718) 436-1600

305 Ocean View Ave
Fl 2
Brooklyn, NY 11235
Phone (718) 743-3100

Interoperability endpoints

  • Direct secure messaging: lilyweinstein@mai.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1174510408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 54TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194259",
            "telephone_number": "718-436-1600",
            "fax_number": "718-436-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 54TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112194259",
            "telephone_number": "718-436-1600",
            "fax_number": "718-436-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "LILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02129633",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2498281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILYA",
            "last_name": "VAYNSHTEIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.