Individual provider Active NPI

Johannes D Weltin, M.D.

  • Family Medicine Physician
  • Monsey, NY
National Provider Identifier
1447207105
Registry record updated May 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
140837 Issued in NY
Practice address
38 Glenbrook Rd
Monsey, NY 10952-1310
Phone
(845) 354-9300
Fax
(845) 354-9448
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 140837 NY Primary

Addresses

Primary practice location

38 Glenbrook Rd
Monsey, NY 10952-1310

Mailing address

6 Windmill Dr
Monsey, NY 10952-1201
Phone (845) 558-2798

Other identifiers 1

IdentifierTypeStateIssuer
01421705MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130302000001 NY Practitioner - Family Practice 4880849561 Practice locations: Monsey, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

38 Glenbrook Rd
Monsey, NY 10952-1310
Phone (845) 558-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Johannes D Weltin ND PC Family Medicine CurrentSince May 14, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683417600000",
    "number": "1447207105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WINDMILL DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521201",
            "telephone_number": "845-558-2798",
            "fax_number": "845-354-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 GLENBROOK RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521310",
            "telephone_number": "845-354-9300",
            "fax_number": "845-354-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTIN",
        "first_name": "JOHANNES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-05-07",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "140837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01421705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.