Organization Active NPI

Weil Podiatry of New York LLC

  • Podiatrist
  • New York, NY
National Provider Identifier
1457725426
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WEIL PODIATRY OF NEW YORK LLC
Practice address
4151 Broadway Ste 4159B
New York, NY 10033-3780
Phone
(917) 242-4169
Fax
(847) 390-9345
NPI assigned
Nov 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Lowell Weil Jr., DPM
Title
Ceo
Phone
(847) 390-7666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X NY Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X NY

Addresses

Primary practice location

4151 Broadway Ste 4159B
New York, NY 10033-3780

Mailing address

1455 E Golf Rd
Des Plaines, IL 60016-1250
Phone (847) 390-7666

National Provider Directory

National Provider Directory

Locations

3033 Steinway St
#B
Astoria, NY 11103
Phone (718) 874-9778

2444 86th St
Ste B
Brooklyn, NY 11214
Phone (718) 709-5329

4151 Broadway
#B
New York, NY 10033
Phone (917) 242-4169

4151 Broadway
Ste 4159B
New York, NY 10033
Phone (917) 242-4169

1153 1st Ave
#B
New York, NY 10065
Phone (646) 386-2250

5920 Myrtle Ave
#B
Ridgewood, NY 11385
Phone (917) 242-4169

1975 Hylan Blvd
#B
Staten Island, NY 10306

Practitioners & affiliated clinicians

Practitioners 6

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": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1457725426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161250",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 BROADWAY STE 4159B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333780",
            "telephone_number": "917-242-4169",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIL PODIATRY OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-390-7666",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.