Individual provider Active NPI

Jeffrey Kurt Weiss, MD

  • Rheumatology Physician
  • New York, NY
National Provider Identifier
1316946247
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
176918 Issued in NY
Practice address
81 Irving PL # 1F
New York, NY 10003-2208
Phone
(212) 533-5090
Fax
(212) 533-7053
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 176918 NY
Rheumatology Physician 207RR0500X 176918 NY Primary

Addresses

Primary practice location

81 Irving PL # 1F
New York, NY 10003-2208

Mailing address

250 E Houston St
New York, NY 10002-1034
Phone (212) 533-5090

Other identifiers 1

IdentifierTypeStateIssuer
01851129MedicaidNY

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
I20080924000372 NY Practitioner - RheumatologyPractitioner - Internal Medicine 4981771516 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

81 Irving PL
New York, NY 10003-2208
Phone (212) 533-5090

81 Irving PL
New York, NY 10003-2209

National Provider Directory

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

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1316946247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E HOUSTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100021034",
            "telephone_number": "212-533-5090",
            "fax_number": "212-533-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 IRVING PL # 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032208",
            "telephone_number": "212-533-5090",
            "fax_number": "212-533-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JEFFREY",
        "middle_name": "KURT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176918",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "176918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01851129",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.