Individual provider Active NPI

Avram Weinberg, D.C.

  • Chiropractor
  • Kensington, MD
National Provider Identifier
1255476610
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SO1230PT Issued in MD
Practice address
5268 Nicholson LN
Suite S
Kensington, MD 20895-1009
Phone
(301) 231-5055
Fax
(301) 231-7217
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X SO1230PT MD Primary

Addresses

Primary practice location

5268 Nicholson LN
Suite S
Kensington, MD 20895-1009

Mailing address

5268 Nicholson LN
Suite S
Kensington, MD 20895-1009
Phone (301) 231-5055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081103000388 DC Practitioner - Chiropractic 6406915834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Health LLCGroup PAC ID 0143609586, 4 clinicians

Practice addresses (Care Compare)

6010 Executive Blvd
Suite 506
Rockville, MD 20852-3827
Phone (301) 231-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SO1230PTMDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Health LLC CurrentSince Aug 18, 2022 Accepting new patients
Better Health Medical Center Current Accepting new patients

Locations

5268 Nicholson Ln
Ste S
Kensington, MD 20895
Phone (301) 231-5055

6010 Executive Blvd
Ste 506
Rockville, MD 20852
Phone (301) 231-5055

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1255476610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5268 NICHOLSON LN",
            "address_2": "SUITE S",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951009",
            "telephone_number": "301-231-5055",
            "fax_number": "301-231-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5268 NICHOLSON LN",
            "address_2": "SUITE S",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951009",
            "telephone_number": "301-231-5055",
            "fax_number": "301-231-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "AVRAM",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "SO1230PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.