Active NPI
Benjamin Weintraub, M.D.
- Pediatrics Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 253273
- Practice address
- 3444 Kossuth Ave
Montefiore Medical Group/ Family Care Center
Bronx, NY 10467-2410 - Phone
- (718) 920-7857
- NPI assigned
- Sep 19, 2005
- Last updated
- Aug 25, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0420010804 | VT | |
| Pediatrics Physician | 208000000X | 2006025651 | MO | |
| Pediatrics Physician | 208000000X | 253273 | NY | Primary |
Addresses
Primary practice location
3444 Kossuth Ave
Montefiore Medical Group/ Family Care Center
Bronx, NY 10467-2410
Mailing address
200 W 90TH St
Apt 9D
New York, NY 10024-1234
Phone (646) 863-2652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006025651 | MO | MD | Pediatrics Physician |
| 0420010804 | VT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Pediatrics | Current | Accepting new patients |
| Atrius Health, Inc. | Pediatrics | Past | Accepting new patients |
Locations
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
485 Arsenal St
Watertown, MA 02472
Phone (617) 972-5100
Interoperability endpoints
- bweintraub324334@direct.atrius.masshiway.net
Organizations & group practices 3
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.
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Beverly, MA
- NPI 1114265634
-
dba Harvard Vanguard Medical Associates
- Internal Medicine Physician
- Boston, MA
- NPI 1740238526
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1386639011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 90TH ST",
"address_2": "APT 9D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241234",
"telephone_number": "646-863-2652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3444 KOSSUTH AVE",
"address_2": "MONTEFIORE MEDICAL GROUP/ FAMILY CARE CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "104672410",
"telephone_number": "718-920-7857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINTRAUB",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "0420010804",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2006025651",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "253273",
"primary": true
}
],
"identifiers": [],
"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 Aug 25, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.