Active NPI
Mitchell I. Weinstein, D.O., P.C.
- Gastroenterology Physician
- West Islip, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 162637-1
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01416811 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- West Islip, NY
- NPI 1942292206
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.