Active NPI
Ronald D Weissenberg, D.O.
- Surgery Physician
- Warsaw, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 277752
- Practice address
- 400 N Main St
Warsaw, NY 14569-1025 - Phone
- (585) 786-1249
- Fax
- (585) 861-6200
- NPI assigned
- Sep 24, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 277752 | NY | Primary |
Addresses
Primary practice location
400 N Main St
Warsaw, NY 14569-1025
Mailing address
400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-1249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04053687 | Medicaid | NY | |
| J400257354 | Other | NY | MEDICARE PTAN (INDIVIDUAL) |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- Quality
- 87.76
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4512 | AZ | MD | Dentist |
| 277752 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Wyoming County | Surgery | Current | Accepting new patients |
| Canton-Potsdam Medical Practice PLLC | Current | Accepting new patients | |
| Wyoming County | Surgery | Current | Accepting new patients |
| Massena Hospital Inc | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Massena Hospital, Inc | Current | Accepting new patients | |
| Wyoming County | Surgery | Current | Accepting new patients |
| Canton Potsdam Hospital | Past | Accepting new patients |
Locations
80 E Main St
Canton, NY 13617
Phone (315) 261-6034
77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
25 Cottage St
Potsdam, NY 13676
Phone (315) 261-6034
400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Multi-Specialty Clinic/Center
- Canton, NY
- NPI 1760821417
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- Medicare Defined Swing Bed Hospital Unit
- Massena, NY
- NPI 1619756640
-
- Rural Acute Care Hospital
- Warsaw, NY
- NPI 1316924913
-
- Surgery Physician
- Warsaw, NY
- NPI 1811385065
-
- Physical Therapy Clinic/Center
- Canton, NY
- NPI 1770703522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1336249911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691025",
"telephone_number": "585-786-1249",
"fax_number": "866-504-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691025",
"telephone_number": "585-786-1249",
"fax_number": "585-861-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSENBERG",
"first_name": "RONALD",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "277752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04053687",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "J400257354",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.