Weissman Endoscopy Obs, LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

187803 Issued in NY

Legal business name

WEISSMAN ENDOSCOPY OBS, LLC

Practice address

202 Foster Ave
Suite C
Brooklyn, NY 11230-2119

Phone

(718) 854-5100

Fax

(718) 854-6200

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sam Weissmamn, MD

Title

Medical Director

Phone

(718) 854-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sam Weissman, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1922083880
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205952785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WHITE DR",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162607",
            "telephone_number": "718-854-5100",
            "fax_number": "718-854-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "address_2": "SUITE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "718-854-5100",
            "fax_number": "718-854-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISSMAN ENDOSCOPY OBS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISSMAMN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-854-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NY",
            "license": "187803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01659961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tova Weissberger
• Paul Justin Weissblatt, M.D.
• Jay Elliot Weissbluth, M.D.
• Heath Weissbrod
• Sarah Weisshaus, RN
• Bracha Weissman, LMSW
• Dale Weissman, PSY.D.
• David M Weissman, OPHTHALMIC DISPENSER
• Gail Weissman
• Haley Weissman

• Endoscopy Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Endoscopy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.