Organization Active NPI

Forest Hills Dermatology Group PLLC

  • Dermatology Physician
  • Kew Gardens, NY
National Provider Identifier
1225309586
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
206843 Issued in NY
Legal business name
FOREST HILLS DERMATOLOGY GROUP PLLC
Practice address
8002 Kew Gardens Rd Ste 107
Kew Gardens, NY 11415-3600
Phone
(718) 459-0900
Fax
(718) 459-0910
NPI assigned
Jan 18, 2012
Last updated
May 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Dr. Jeffrey M Weinberg, MDNPI 1689660565
Title
General Partner
Phone
(917) 309-3881

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 206843 NY Primary
Podiatrist 213E00000X N004775 NY

Addresses

Primary practice location

8002 Kew Gardens Rd Ste 107
Kew Gardens, NY 11415-3600

Mailing address

200 Riverside Blvd Apt 7I
New York, NY 10069-0908
Phone (718) 459-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000342 NY Part B Supplier - Clinic/Group Practice 6608037320 Receives reassigned benefits from 22 practitioners
Practice locations: New York, NY; Far Rockaway, NY; Ozone Park, NY; Rego Park, NY; Staten Island, NY; Woodside, NY; Bronx, NY; Brooklyn, NY…

National Provider Directory

National Provider Directory

Locations

1245 Southern Blvd
Bronx, NY 10459
Phone (718) 249-2201

161 Atlantic Ave
Ste 202
Brooklyn, NY 11201
Phone (718) 651-8700

256 Ainslie St
Brooklyn, NY 11211
Phone (917) 909-1786

10311 68th Dr
Forest Hills, NY 11375
Phone (347) 642-5315

10740 Queens Blvd
Ste 204
Forest Hills, NY 11375
Phone (718) 268-8845

16533 Union Tpke
Fl Second
Fresh Meadows, NY 11366
Phone (718) 380-2330

14717 Jamaica Ave
Jamaica, NY 11435
Phone (718) 658-1700

2824 Frederick Douglass Blvd
New York, NY 10039
Phone (212) 222-0075

32 Union Sq E
Ste 516
New York, NY 10003
Phone (212) 388-5338

3845 10th Ave
New York, NY 10034
Phone (646) 344-1715

430 E 14th St
New York, NY 10009

452 Fort Washington Ave
Lowr
New York, NY 10033

750B Saint Nicholas Ave
New York, NY 10031

981 Amsterdam Ave
New York, NY 10025
Phone (212) 222-0075

10002 Rockaway Blvd
Ste 2
Ozone Park, NY 11417
Phone (718) 380-2330

15026 14th Ave
Whitestone, NY 11357
Phone (718) 380-2330

5314 Roosevelt Ave
Fl 2
Woodside, NY 11377
Phone (718) 205-6160

Practitioners & affiliated clinicians

Practitioners 104

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.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1225309586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE BLVD APT 7I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100690908",
            "telephone_number": "718-459-0900",
            "fax_number": "718-459-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 KEW GARDENS RD STE 107",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153600",
            "telephone_number": "718-459-0900",
            "fax_number": "718-459-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS DERMATOLOGY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "917-309-3881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "206843",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.