NPIMap

Individual provider Active NPI

Gary Weinstein, MD

  • Psychiatry Physician
  • Forest Hills, NY
National Provider Identifier
1184712945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
203846 Issued in NY
Practice address
107-21 Queens Blvd
Ste 6
Forest Hills, NY 11375
Phone
(718) 661-1789
Fax
(718) 830-0724
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 203846 NY Primary

Addresses

Primary practice location

107-21 Queens Blvd
Ste 6
Forest Hills, NY 11375

Mailing address

79 The Dell St
Albertson, NY 11507
Phone (718) 661-1789

Other identifiers 1

IdentifierTypeStateIssuer
01733802MedicaidNY

Other names 1

  • Igor Vaynshteyn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000110 NY Practitioner - PsychiatryPractitioner - Neuropsychiatry 2769467265 Reassigns benefits to 4 organizations
Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
B and L Health IncGroup PAC ID 9830124908, 26 clinicians
Ajay 28 LLCGroup PAC ID 9830436328, 16 clinicians

Practice addresses (Care Compare)

1655 E 13TH St
Brooklyn, NY 11229-1101
Phone (718) 339-6300

6860 Austin St
Forest Hills, NY 11375-4245
Phone (718) 997-7100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203846NYMDPsychiatry Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc CurrentSince Jun 1, 2018 Accepting new patients
Mark Vincent Burke, M.D. PC Past Accepting new patients
Wali Mohammad, M.D., P.C. Psychiatry PastSince Jul 1, 1999 Accepting new patients
My Therapist LCSW, PLLC Past Accepting new patients
Linda Podiatry PC PastSince Sep 30, 2011 Accepting new patients
David Tavdy Medical Care PC PastSince Sep 30, 2018 Accepting new patients

Locations

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184712945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 THE DELL ST",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "11507",
            "telephone_number": "718-661-1789",
            "fax_number": "718-830-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107-21 QUEENS BLVD",
            "address_2": "STE 6",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-661-1789",
            "fax_number": "718-830-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "203846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IGOR",
            "last_name": "VAYNSHTEYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.