Robert A Weiss, MD

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

112832 Issued in NY

Practice address

19 Bradhurst Ave
Ste. 1400
Hawthorne, NY 10532-2140

Phone

(914) 493-7583

Fax

(914) 594-4011

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: rweiss@hiemail.healtheconnections.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: robert.weiss.p1@direct.cwpw.nextgenshare.com

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.

• Boston Children'S Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1417949702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BRUSH HOLLOW CRES",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731623",
            "telephone_number": "914-772-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "STE. 1400",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-493-7583",
            "fax_number": "914-594-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "112832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00305642",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.weiss.p1@direct.cwpw.nextgenshare.com",
            "affiliation": "N",
            "address_1": "19 Bradhurst Ave",
            "address_2": "Ste. 1400",
            "city": "Hawthorne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105322140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Michelle Wasserman, M.D.
• Melissa Alison Webster, LMSW
• Susan Rochel Weibman, PA-C
• Danielle Sara Weisberg, LCSW
• Melvin Weiss, MD
• Jacqueline Welch-Bennett, LMSW
• John J Welter, MD
• Westchester Chapter Nysarc, Inc
• Westchester County Health Care Corp
• Westchester County Health Care Corporation

• Pediatric Nephrology Physician in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Pediatric Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.