Active NPI
Bernard M. Weiner, M.D.
- Nephrology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 122976
- Practice address
- 1578 Williamsbridge Rd
Suite 2D
Bronx, NY 10461-6265 - Phone
- (718) 863-8465
- Fax
- (718) 863-8983
- NPI assigned
- May 6, 2006
- Last updated
- Jun 4, 2015
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 122976 | NY | Primary |
Addresses
Primary practice location
1578 Williamsbridge Rd
Suite 2D
Bronx, NY 10461-6265
Mailing address
1578 Williamsbridge Rd
Suite 2D
Bronx, NY 10461-6265
Phone (718) 863-8465
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A400016987 | Other | NY | INDIVIDUAL PTAN |
| 00346516 | Medicaid | NY |
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 Compare- Specialty
- Internal Medicine
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2452 Bronx Park E
Bronx, NY 10467-7503
Phone (718) 655-4956
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122976 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Medical Associates PLLC | Current | Accepting new patients | |
| Knickerbocker Dialysis Inc | Past | Accepting new patients | |
| Bronx Nephrology Hypertension PC | Nephrology | Past | Accepting new patients |
Locations
1109 Rosedale Ave
Bronx, NY 10472
Phone (347) 769-7294
1578 Williamsbridge Rd
Ste 2
Bronx, NY 10461
Phone (718) 518-8888
1578 Williamsbridge Rd
Ste 2D
Bronx, NY 10461
Phone (718) 863-8465
1615 Eastchester Rd
Bronx, NY 10461
Phone (718) 892-7700
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
2452 Bronx Park E
Bronx, NY 10467
Phone (718) 379-8100
3134 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1000
34 Marconi St
Bronx, NY 10461
Phone (718) 518-0060
34 Marconi St
Ste 100
Bronx, NY 10461
Phone (718) 794-1200
34 Marconi St
Ste 110
Bronx, NY 10461
Phone (929) 286-5280
931 Bruckner Blvd
Bronx, NY 10459
Phone (718) 378-0921
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- bernard.weiner@direct.davitaphysiciansolutions.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Bronx, NY
- NPI 1578933461
-
- Nephrology Physician
- Bronx, NY
- NPI 1952597288
-
- Nephrology Physician
- Bronx, NY
- NPI 1912187956
-
dba Elmcare Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Elmhurst, NY
- NPI 1013642404
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Melrose Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1295189090
Dialysis facility
-
dba Longwood Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1407415243
Dialysis facility
-
dba Bronx Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1811933278
Dialysis facility
-
dba Soundview Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bronx, NY
- NPI 1891721940
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1356390660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 WILLIAMSBRIDGE RD",
"address_2": "SUITE 2D",
"city": "BRONX",
"state": "NY",
"postal_code": "104616265",
"telephone_number": "718-863-8465",
"fax_number": "718-863-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1578 WILLIAMSBRIDGE RD",
"address_2": "SUITE 2D",
"city": "BRONX",
"state": "NY",
"postal_code": "104616265",
"telephone_number": "718-863-8465",
"fax_number": "718-863-8983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "BERNARD",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "122976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL PTAN",
"identifier": "A400016987",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00346516",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; 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.