Individual provider Active NPI

Peter Joseph Weiss, LCSW

  • Clinical Social Worker
  • Forest Hills Queens, NY
National Provider Identifier
1376600254
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR007853 Issued in NY
Practice address
110 20 71 Road
Arista Center for Psychotherapy
Forest Hills Queens, NY 11375
Phone
(718) 793-3133
Fax
(718) 793-2023
NPI assigned
Jan 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR007853 NY Primary

Addresses

Primary practice location

110 20 71 Road
Arista Center for Psychotherapy
Forest Hills Queens, NY 11375

Mailing address

111 Hicks Street
#21J
Brooklyn, NY 11201-1655
Phone (718) 858-0248

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000679 NY Practitioner - Clinical Social Worker 8921297334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arista Center for Psychotherapy IncGroup PAC ID 1658364054, 13 clinicians

Practice addresses (Care Compare)

11020 71St Rd
Forest Hills, NY 11375-4914
Phone (718) 793-5410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR007853NYMDClinical Social Worker
007853NYMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376600254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HICKS STREET",
            "address_2": "#21J",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011655",
            "telephone_number": "718-858-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 20 71 ROAD",
            "address_2": "ARISTA CENTER FOR PSYCHOTHERAPY",
            "city": "FOREST HILLS QUEENS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-793-3133",
            "fax_number": "718-793-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR007853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.