Active NPI
Jerry C Weinberg, MD
- Ophthalmology Physician
- Brooklyn, NY
National Provider Identifier
1306890785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 219927
- Practice address
- 1215 Avenue M
Brooklyn, NY 11230-5245 - Phone
- (718) 965-2020
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD028446E | PA | |
| Ophthalmology Physician | 207W00000X | 219927 | NY | Primary |
Addresses
Primary practice location
1215 Avenue M
Brooklyn, NY 11230-5245
Mailing address
236A Moore Street
Pennsport Mall
Philadelphia, PA 19148
Phone (215) 755-9470
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009468220003 | Medicaid | PA | |
| 02196234 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050218000453 | NY | Practitioner - Ophthalmology | 2860444718 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- State University of Ny Upstate Medical University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1215 Ave M
Brooklyn, NY 11230-5245
Phone (215) 755-9470
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219927 | NY | MD | Ophthalmology Physician |
| MD028446E | PA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On-Sight Care LLC | Ophthalmology | Current | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306890785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236A MOORE STREET",
"address_2": "PENNSPORT MALL",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19148",
"telephone_number": "215-755-9470",
"fax_number": "215-755-9860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 AVENUE M",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305245",
"telephone_number": "718-965-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "JERRY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD028446E",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "219927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009468220003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02196234",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.