Stephen S Weisglass, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

038398-1 Issued in NY

Practice address

11020 71St Rd
Suite 120
Forest Hills, NY 11375-4945

Phone

(718) 544-8787

Fax

(718) 268-9220

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yu Wang DMD PLLC

  • Periodontics
  • Forest Hills, NY
  • NPI 1184504482
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467570440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 71ST RD",
            "address_2": "SUITE 120",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754945",
            "telephone_number": "718-544-8787",
            "fax_number": "718-268-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 71ST RD",
            "address_2": "SUITE 120",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754945",
            "telephone_number": "718-544-8787",
            "fax_number": "718-268-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISGLASS",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "038398-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Weinstein, MD
• Joshua W Weinstein, MD
• Lili Weinstein, M.D.
• Russell Scott Weinstein, M.D.
• Jeffrey Weisbord, DDS
• Marcia G. Weisman, LCSW
• Mitchell Lee Weisman, MD
• Matthew Brian Weiss, D.C
• Stephan Allen Weitz, BC-HIS
• Weitzman Oral Surgery and Implantology (Oral Surgery and Implant Center)

• Periodontics in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.