Loreta Weise

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

15813 72ND Ave
Fresh Meadows, NY 11365-1140

Phone

(718) 380-7600

Fax

(718) 380-6675

NPI assigned

Apr 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523145600000",
    "number": "1336646298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 TENBROECK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695011",
            "telephone_number": "347-641-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 72ND AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651140",
            "telephone_number": "718-380-7600",
            "fax_number": "718-380-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "LORETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Marie Watson, M.A. CCC-SLP
• Shira Waxman Shatzkes, MS OTR/L
• Leora Ann Waxman
• Lihong Wei, M.D.
• Howard Weiner, PH. D
• Jordanna Weiser
• Jerry Weissman, MS ED, MA ED
• Marie Welshinger, MD
• Taren A West, LMSW
• Heidi Wettstein, LMSW

• Early Intervention Provider Agency in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; 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.