Active NPI
Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
National Provider Identifier
1306911722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 7000317N
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 7000317N | NY | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 7000317N | NY | |
| Psychiatry Physician | 2084P0800X | 7000317N | NY | |
| Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryNPI 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
- Jewish Association for Services for the Aged (Jasa)
- Jewish Association for Services for the Aged
- Jewish Board of Family and Children Services
- Jewish Home Lifecare Community Services (The New Jewish Home, Home Care)
- Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx
- Jewish Home Lifecare Harry and Jeanette Weinberg Campus Bronx (The New Jewish Home, Harry and Jeanette Weinberg Campus)
- Jewish Home Lifecare, Community Services
- Jewish Home Lifecare, Harry & Jeanette Weinberg Campus, Bron (Jewish Home Lifecare -Bronx (pharmacy))
- Jewish Home Lifecare, Manhattan
- Jewish Home Lifecare, Manhattan (The New Jewish Home, Manhattan)
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.