Active NPI
Johannes D Weltin, M.D.
- Family Medicine Physician
- Monsey, NY
National Provider Identifier
1447207105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 140837
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01421705 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johannes D Weltin ND PC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Monsey, NY
- NPI 1598455420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.