Organization Active NPI

Mitchell I. Weinstein, D.O., P.C.

  • Gastroenterology Physician
  • West Islip, NY
National Provider Identifier
1437222650
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
162637-1 Issued in NY
Legal business name
MITCHELL I. WEINSTEIN, D.O., P.C.
Practice address
631 Montauk Hwy Ste 2
West Islip, NY 11795-4400
Phone
(631) 321-3840
Fax
(631) 321-3842
NPI assigned
Nov 16, 2006
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Dr. Mitchell Ira Weinstein, D.O.NPI 1942292206
Title
President
Phone
(631) 321-3840

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 162637-1 NY Primary

Addresses

Primary practice location

631 Montauk Hwy Ste 2
West Islip, NY 11795-4400

Mailing address

631 Montauk Hwy Ste 2
West Islip, NY 11795-4400
Phone (631) 321-3840

Other identifiers 1

IdentifierTypeStateIssuer
01416811MedicaidNY

National Provider Directory

National Provider Directory

Locations

631 Montauk Hwy
Ste 2
West Islip, NY 11795
Phone (631) 321-3840

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1437222650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 MONTAUK HWY STE 2",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954400",
            "telephone_number": "631-321-3840",
            "fax_number": "631-321-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 MONTAUK HWY STE 2",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954400",
            "telephone_number": "631-321-3840",
            "fax_number": "631-321-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL I. WEINSTEIN, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-321-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "162637-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01416811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.