Active NPI
Robert Weibman, D.D.S.
- General Practice Dentistry
- New Hyde Park, NY
National Provider Identifier
1477533719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 033706
- Practice address
- 1601 Jericho Tpke
New Hyde Park, NY 11040-4714 - Phone
- (516) 354-0033
- NPI assigned
- Jan 20, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 033706 | NY | Primary |
Addresses
Primary practice location
1601 Jericho Tpke
New Hyde Park, NY 11040-4714
Mailing address
50 S Middle Neck Rd
Apt. 2P
Great Neck, NY 11021-3446
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170227000058 | NY | Order and Referring Only - Other (Physician) | 6709102239 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milton Rosenberg DDS PC | Past | Accepting new patients | |
| Park One Dental P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- New Hype Park, NY
- NPI 1831288067
-
- General Practice Dentistry
- New Hyde Park, NY
- NPI 1801396023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1477533719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S MIDDLE NECK RD",
"address_2": "APT. 2P",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 JERICHO TPKE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110404714",
"telephone_number": "516-354-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIBMAN",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "033706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.