Active NPI
David S. Weiss, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- New York, NY
National Provider Identifier
1467453001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 151349
- Practice address
- 161 Madison Ave RM 10NW
New York, NY 10016-5441 - Phone
- (212) 889-8228
- Fax
- (844) 287-3555
- NPI assigned
- Aug 4, 2005
- Last updated
- May 5, 2022
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 151349 | NY | Primary |
Addresses
Primary practice location
161 Madison Ave RM 10NW
New York, NY 10016-5441
Mailing address
161 Madison Ave RM 10NW
New York, NY 10016-5441
Phone (212) 889-8228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 16, 2012 through Jun 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151349 | NY | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Interoperability endpoints
- dweiss12494@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1467453001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 MADISON AVE RM 10NW",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165441",
"telephone_number": "212-889-8228",
"fax_number": "844-287-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MADISON AVE RM 10NW",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165441",
"telephone_number": "212-889-8228",
"fax_number": "844-287-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "DAVID",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-04",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "151349",
"primary": true
}
],
"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 May 5, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.