Organization Active NPI

Michael I Weintraub M D P C

  • Neurology Physician
  • Briarcliff Manor, NY
National Provider Identifier
1437440302
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
098861 Issued in NY
Legal business name
MICHAEL I WEINTRAUB M D P C
Practice address
325 S Highland Ave
Briarcliff Manor, NY 10510-2096
Phone
(914) 941-0788
Fax
(914) 941-0562
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Michael I Weintraub, M D P CNPI 1467421081
Title
President
Phone
(914) 941-0788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 098861 NY Primary

Addresses

Primary practice location

325 S Highland Ave
Briarcliff Manor, NY 10510-2096

Mailing address

325 South Highalnd Avenue
Briarcliff Manor, NY 10510
Phone (914) 941-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240227003461 NY Part B Supplier - Clinic/Group Practice 1355786534 Receives reassigned benefits from 1 practitioner
Practice locations: Briarcliff Manor, NY

National Provider Directory

National Provider Directory

Locations

325 S Highland Ave
Ste 110
Briarcliff Manor, NY 10510
Phone (914) 941-0788

325 S Highland Ave
Briarcliff Manor, NY 10510
Phone (914) 941-0617

325 S Highland Ave
Ste 9
Briarcliff Manor, NY 10510
Phone (914) 941-3409

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1437440302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SOUTH HIGHALND AVENUE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "10510",
            "telephone_number": "914-941-0788",
            "fax_number": "914-941-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S HIGHLAND AVE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102096",
            "telephone_number": "914-941-0788",
            "fax_number": "914-941-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL I WEINTRAUB M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "WEINTRAUB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-941-0788",
        "authorized_official_credential": "M D P C"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "098861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.