Active NPI
Robert M Weinberg, M.D.
- Internal Medicine Physician
- Quincy, MA
National Provider Identifier
1326049065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34486
- Practice address
- 500 Congress St
Suite 3C
Quincy, MA 02169-0908 - Phone
- (617) 471-0033
- Fax
- (617) 770-4354
- NPI assigned
- Aug 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34486 | MA | Primary |
Addresses
Primary practice location
500 Congress St
Suite 3C
Quincy, MA 02169-0908
Mailing address
500 Congress St
Suite 3C
Quincy, MA 02169-0908
Phone (617) 471-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017199 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1326049065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CONGRESS ST",
"address_2": "SUITE 3C",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690908",
"telephone_number": "617-471-0033",
"fax_number": "617-770-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CONGRESS ST",
"address_2": "SUITE 3C",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690908",
"telephone_number": "617-471-0033",
"fax_number": "617-770-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "34486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017199",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.