Individual provider Active NPI

Jerry J Weinberg, MD

  • Urology Physician
  • Mount Kisco, NY
National Provider Identifier
1346293420
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
159368 Issued in NY
Practice address
666 Lexington Avenue
Ste 100
Mt. Kisco, NY 10549-3637
Phone
(914) 666-4346
Fax
(914) 666-5848
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 159368 NY Primary

Addresses

Primary practice location

666 Lexington Avenue
Ste 100
Mt. Kisco, NY 10549-3637

Mailing address

666 Lexington Avenue
Ste 100
Mt. Kisco, NY 10549-3637
Phone (914) 666-4346

Other identifiers 1

IdentifierTypeStateIssuer
17F87WS371OtherNYRAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000231 NY Practitioner - Urology 4385558956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York Downstate Medical Center, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westchester Health Medical PCGroup PAC ID 7315221751, 87 clinicians

Practice addresses (Care Compare)

60 Goldens Bridge Rd
Katonah, NY 10536-3447
Phone (914) 241-9026

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients
Westchester Health Medical, P.C. CurrentSince Mar 1, 2017 Accepting new patients

Locations

480 Bedford Rd
Ste 1
Chappaqua, NY 10514

60 Goldens Bridge Rd
Katonah, NY 10536
Phone (914) 232-1919

91 Smith Ave
Mount Kisco, NY 10549
Phone (914) 241-1717

666 Lexington Ave
Ste 100
Mount Kisco, NY 10549
Phone (914) 215-1616

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jweinberg69203@northwell.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1346293420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVENUE",
            "address_2": "STE 100",
            "city": "MT. KISCO",
            "state": "NY",
            "postal_code": "105493637",
            "telephone_number": "914-666-4346",
            "fax_number": "914-666-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 LEXINGTON AVENUE",
            "address_2": "STE 100",
            "city": "MT. KISCO",
            "state": "NY",
            "postal_code": "105493637",
            "telephone_number": "914-666-4346",
            "fax_number": "914-666-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "JERRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "159368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "17F87WS371",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.