Organization Active NPI

Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
National Provider Identifier
1306911722
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
7000317N Issued in NY
Legal business name
JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX
Practice address
100 W Kingsbridge Rd
Attn Medical Dept
Bronx, NY 10468-3903
Phone
(718) 410-1500
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Audrey Weiner, DSW
Title
Ceo
Phone
(212) 870-4600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 7000317N NY Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 7000317N NY
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 7000317N NY
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 7000317N NY

Addresses

Primary practice location

100 W Kingsbridge Rd
Attn Medical Dept
Bronx, NY 10468-3903

Mailing address

100 W Kingsbridge Rd
Attn Medical Dept
Bronx, NY 10468-3903
Phone (718) 410-1500

Other names 1

  • Jewish Home Lifecare-Bronx Medical Department Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1306911722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W KINGSBRIDGE RD",
            "address_2": "ATTN MEDICAL DEPT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683903",
            "telephone_number": "718-410-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W KINGSBRIDGE RD",
            "address_2": "ATTN MEDICAL DEPT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683903",
            "telephone_number": "718-410-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH HOME LIFECARE HARRY AND JEANETTE WEINBERG CAMPUS BRONX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-870-4600",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "7000317N",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "7000317N",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "7000317N",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "7000317N",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Home Lifecare-Bronx Medical Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.