Individual provider Active NPI

Jonathan Carlton Goldweitz, M.D.

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1487729976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
021382 Issued in CT
Practice address
750 Washington Blvd
Ehe International-5TH Floor
Stamford, CT 06901-3722
Phone
(203) 348-7500
Fax
(203) 964-9029
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 021382 CT Primary
Internal Medicine Physician 207R00000X 125075-1 NY

Addresses

Primary practice location

750 Washington Blvd
Ehe International-5TH Floor
Stamford, CT 06901-3722

Mailing address

750 Washington Blvd
Ehe International-5TH Floor
Stamford, CT 06901-3722
Phone (203) 348-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
021382CTMDInternal Medicine Physician
125075-1NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487729976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON BLVD",
            "address_2": "EHE INTERNATIONAL-5TH FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013722",
            "telephone_number": "203-348-7500",
            "fax_number": "203-964-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WASHINGTON BLVD",
            "address_2": "EHE INTERNATIONAL-5TH FLOOR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013722",
            "telephone_number": "203-348-7500",
            "fax_number": "203-964-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWEITZ",
        "first_name": "JONATHAN",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "021382",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "125075-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.