Organization Active NPI

Lewis J Weinstein M D P C

  • Specialist
  • Commack, NY
National Provider Identifier
1336419704
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
138663 Issued in NY
Legal business name
LEWIS J WEINSTEIN M D P C
Practice address
66 Commack Rd
Suite 203
Commack, NY 11725-3405
Phone
(631) 499-3733
Fax
(631) 499-3710
NPI assigned
Jan 3, 2012
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Dr. Lewis J Weinstein, M DNPI 1407879638
Title
Owner
Phone
(631) 499-3733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 138663 NY Primary

Addresses

Primary practice location

66 Commack Rd
Suite 203
Commack, NY 11725-3405

Mailing address

66 Commack Road
Suite 203
Commack, NY 11725-3405
Phone (631) 499-3733

Other identifiers 1

IdentifierTypeStateIssuer
00715875MedicaidNY

National Provider Directory

National Provider Directory

Locations

66 Commack Rd
Ste 203
Commack, NY 11725
Phone (631) 499-3733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1336419704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 COMMACK ROAD",
            "address_2": "SUITE 203",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253405",
            "telephone_number": "631-499-3733",
            "fax_number": "631-499-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COMMACK RD",
            "address_2": "SUITE 203",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253405",
            "telephone_number": "631-499-3733",
            "fax_number": "631-499-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS J WEINSTEIN M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-499-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "138663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00715875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.