Mitchell I. Weiler, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

148634 Issued in NY

Practice address

86 Carman Ave
Cedarhurst, NY 11516-1905

Phone

(516) 569-0500

Fax

(516) 569-0570

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: mweiler307745@nyumc.direct-ci.com

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.

• Arm of Pediatrics LLP

  • Pediatric Adolescent Medicine Physician
  • Cedarhust, NY
  • NPI 1508983495
  NPD (past) Authorized official
• South Island Pediatrics, N.Y.C., P.C.

  • Clinic/Center
  • Cedarhurst, NY
  • NPI 1427113075
  NPD (past) Authorized official

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1326046780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CARMAN AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161905",
            "telephone_number": "516-569-0500",
            "fax_number": "516-569-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CARMAN AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161905",
            "telephone_number": "516-569-0500",
            "fax_number": "516-569-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILER",
        "first_name": "MITCHELL",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "148634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00890588",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Associates of the Five Towns, Inc.
• Aliza Wachspress, PA-C
• Dikla Waldman
• Chaya Osna Wasser, MS CCC-SLP
• Debrah Weberman
• Tamar Michal Weinreb, LMHC
• Bina Leah Weiss
• Elie Weiss
• Judi Adler Weiss, MSCCCSLP
• Markus L Weitz, DDS

• Pediatrics Physician in Cedarhurst, NY
• Providers in Cedarhurst, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.