Individual provider Active NPI

Alexander Weiss, D.O.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1275630956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
239320 Issued in NY
Practice address
1302 Kings Hwy
Brooklyn, NY 11229-1960
Phone
(718) 645-7020
NPI assigned
Sep 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Specialist 174400000X 239320 NY Primary

Addresses

Primary practice location

1302 Kings Hwy
Brooklyn, NY 11229-1960

Mailing address

3415 Guider Ave
# 4-C
Brooklyn, NY 11235-5281
Phone (718) 743-7845

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
I20061117000351 NY Practitioner - Anesthesiology 1658379102 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239320NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
York Anesthesiologists PLLC CurrentSince May 1, 2017 Accepting new patients

Locations

46 W Oak St
Amityville, NY 11701
Phone (718) 670-5631

5500 Broadway
Ste A
Bronx, NY 10463
Phone (718) 543-3635

Organizations & group practices 1

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275630956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 GUIDER AVE",
            "address_2": "# 4-C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355281",
            "telephone_number": "718-743-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291960",
            "telephone_number": "718-645-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ALEXANDER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "239320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.