Organization Active NPI

Alan Weisman DPM PLLC

  • Foot Surgery Podiatrist
  • E. Northport, NY
National Provider Identifier
1356677983
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N005894 Issued in NY
Legal business name
ALAN WEISMAN DPM PLLC
Practice address
554 Larkfield Rd
Ste 10C
E. Northport, NY 11731-4205
Phone
(631) 368-3668
Fax
(631) 368-3669
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Dr. Alan Weisman, DPMNPI 1508820622
Title
Owner
Phone
(631) 368-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N005894 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

554 Larkfield Rd
Ste 10C
E. Northport, NY 11731-4205

Mailing address

554 Larkfield Rd
Ste 10C
E. Northport, NY 11731-4205
Phone (631) 368-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100128000329 NY Part B Supplier - Clinic/Group Practice 5193867190 Receives reassigned benefits from 1 practitioner
Practice locations: East Northport, NY
O20100930006506 NY DME Supplier - Physician - Podiatry 5193867190 Practice locations: E Northport, NY

National Provider Directory

National Provider Directory

Locations

554 Larkfield Rd
Ste 10C
East Northport, NY 11731
Phone (631) 266-1256

365 County Road 39A
Ste A
Southampton, NY 11968
Phone (631) 287-1818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1356677983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD",
            "address_2": "STE 10C",
            "city": "E. NORTHPORT",
            "state": "NY",
            "postal_code": "117314205",
            "telephone_number": "631-368-3668",
            "fax_number": "631-368-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD",
            "address_2": "STE 10C",
            "city": "E. NORTHPORT",
            "state": "NY",
            "postal_code": "117314205",
            "telephone_number": "631-368-3668",
            "fax_number": "631-368-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN WEISMAN DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-368-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005894",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E. Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.