Active NPI
Clyde Herbert Weissbart, M.D.
- Internal Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 114479
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 299-7295
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 114479 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
3 Barker Ave
4TH Floor
White Plains, NY 10601-1509
Phone (914) 949-1199
Other practice location 1
3 Barker Ave
4th Floor
White Plains, NY 10601-1509
Phone (914) 949-1199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00779800 | 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
- New York Medical College, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
3525 Baychester Ave
Bronx, NY 10466-5001
Phone (845) 354-1212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Genesis Medical Health PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Healthcare Services PLLC | Internal Medicine | Current | Accepting new patients |
| Bronx Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| House Call Medical Services of New York, PLLC | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Forest Hills Dermatology Group PLLC | Past | Accepting new patients | |
| RLD Medical Services, PC | Internal Medicine | Past | Accepting new patients |
| White Plains Nursing Home, Inc. | Past | Accepting new patients | |
| Jopal Bronx LLC | Past | Accepting new patients |
Locations
100 W Kingsbridge Rd
Bronx, NY 10468
Phone (718) 410-1480
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
3155 Grace Ave
Bronx, NY 10469
Phone (718) 304-2866
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
930 Grand Concourse
Apt 1K
Bronx, NY 10451
Phone (212) 395-9000
3845 Carpenter Ave
Bronx, NY 10467
Phone (718) 269-3989
1072 Grand Concourse
Bronx, NY 10456
Phone (718) 681-4000
2015 Grand Concourse
#13202
Bronx, NY 10453
3525 Baychester Ave
Bronx, NY 10466
Phone 71867063001740
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
33 Downtown Dr
Monsey, NY 10952
15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400
116 E 125th St
New York, NY 10035
Phone (212) 395-9000
3 Barker Ave
Fl 4
White Plains, NY 10601
Phone (914) 949-7900
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
Internal Medicine
-
- General Practice Physician
- Spring Valley, NY
- NPI 1285432989
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1700215886
-
- Dermatology Physician
- Kew Gardens, NY
- NPI 1225309586
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1710328380
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1609986934
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bronx, NY
- NPI 1467435669
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1407925274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BARKER AVE",
"address_2": "4TH FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106011509",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-299-7295"
}
],
"practiceLocations": [
{
"address_1": "3 Barker Ave",
"address_2": "4th Floor",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106011509",
"country_code": "US",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISSBART",
"first_name": "CLYDE",
"middle_name": "HERBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "114479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00779800",
"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 May 7, 2021; 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.