Individual provider Active NPI

Mark D Weibman, MD

  • Anesthesiology Physician
  • Hudson, NY
National Provider Identifier
1497725915
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
128447 Issued in NY
Practice address
71 Prospect Ave
Hudson, NY 12534-2927
Phone
(914) 672-2966
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 128447 NY Primary

Addresses

Primary practice location

71 Prospect Ave
Hudson, NY 12534-2927

Mailing address

475 Haines Rd
Bedford Corners, NY 10549-4222
Phone (914) 672-2966

Other practice location 1

475 Haines Rd
Bedford Corners, NY 10549-4222
Phone (914) 672-2966

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070929000076 NY Practitioner - Anesthesiology 7315032786 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York Downstate Medical Center, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

1 Heroes Way
Riverhead, NY 11901-2054
Phone (631) 548-6000

Hospital & facility affiliations

  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesiology Associates,PC Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince Sep 17, 2024 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Jan 11, 2023 Accepting new patients
Hudson Health Anesthesia PLLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Jan 11, 2023 Accepting new patients
Lynbrook Anesthesia Services, PC Anesthesiology CurrentSince Dec 1, 2020 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients
Valhalla Anesthesia Associates, PC Anesthesiology Past Accepting new patients
Ravi Hotchandani MD PC PastSince Jun 1, 2010 Accepting new patients

Locations

111 Clock Tower Cmns
#22
Brewster, NY 10509

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

1200 Waters Pl
Ste M117
Bronx, NY 10461
Phone (718) 863-0575

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

88 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 591-8400

400 Westage Business Ctr Dr
Ste 202
Fishkill, NY 12524
Phone (845) 896-0736

400 Westage Business Ctr Dr
Ste 209
Fishkill, NY 12524
Phone (845) 231-5392

400 Westage Business Ctr Dr
Ste 205
Fishkill, NY 12524
Phone (845) 231-0321

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

6 Front St
Newburgh, NY 12550

955 Little Britain Rd
Newburgh, NY 12553
Phone (845) 437-5000

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

320 Montauk Hwy
West Islip, NY 11795
Phone (360) 514-9060

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mweibman@premiermedicalhv.medentdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1497725915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HAINES RD",
            "city": "BEDFORD CORNERS",
            "state": "NY",
            "postal_code": "105494222",
            "telephone_number": "914-672-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PROSPECT AVE",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342927",
            "telephone_number": "914-672-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Haines Rd",
            "address_purpose": "LOCATION",
            "city": "Bedford Corners",
            "state": "NY",
            "postal_code": "105494222",
            "country_code": "US",
            "telephone_number": "914-672-2966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIBMAN",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "128447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.