Avi Weiner, MD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

027452 Issued in CT

Practice address

47 Oak St
Ste 110
Stamford, CT 06905-5320

Phone

(203) 356-1450

Fax

(203) 323-8875

NPI assigned

Oct 17, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Alan Weisel MD PC

  • Orthopaedic Surgery Physician
  • Stamford, CT
  • NPI 1609182831
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1477634533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OAK ST",
            "address_2": "STE 110",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055320",
            "telephone_number": "203-356-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OAK ST",
            "address_2": "STE 110",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055320",
            "telephone_number": "203-356-1450",
            "fax_number": "203-323-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "AVI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CT",
            "license": "027452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "027452",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanne M Weil, LCSW
• Amy Renee Weinberg, NP AAHIVS
• Gerard Weinberg, MD
• Richard M Weinberg, MD
• Harriet Weinberger, MSED
• Melanie Weiner
• Steven Eric Weinreb, LCSW
• David B Weinstein, MD
• Paul Weinstein, DC
• Paul Leslie Weinstein, MD

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Stamford, CT
• Providers in Stamford, CT by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.