Individual provider Active NPI

Benjamin Weintraub, M.D.

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1386639011
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
253273 Issued in NY
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201016001687 MA Practitioner - Pediatric Medicine 5991858797 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006025651MOMDPediatrics Physician
0420010804VTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atrius Health, Inc. CurrentSince Sep 15, 2020 Accepting new patients
Atrius Health, Inc. Pediatrics CurrentSince Sep 15, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.