Active NPI
Robert William Weisenthal, M.D.
- Ophthalmology Physician
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1740541
- Practice address
- 5770 Commons Park
East Syracuse, NY 13057-9400 - Phone
- (315) 445-1577
- Fax
- (315) 445-4862
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 1740541 | NY | Primary |
Addresses
Primary practice location
5770 Commons Park
East Syracuse, NY 13057-9400
Mailing address
PO Box 48
Syracuse, NY 13214-0048
Phone (315) 445-1577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01076719 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Wisconsin School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5770 Commons Park
Dewitt, NY 13214-0048
Phone (315) 445-1578
5770 Commons Park Dr
P.O. Box 48
Dewitt, NY 13214
PO Box
Suite 48
De Witt, NY 13214-0048
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.08 of 100
- Quality
- 78.05
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 43.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 309 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1740541 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cny Medical and Surgical Eye Care PC | Current | Accepting new patients | |
| Cny Medical and Surgical Eye Care PC | Ophthalmology | Current | Accepting new patients |
| Ophthalmology Medical Service Group Inc | Ophthalmology | Current | Accepting new patients |
Locations
5700 W Genesee St
Ste 105
Camillus, NY 13031
Phone (315) 478-4185
5770 Commons Park
East Syracuse, NY 13057
Phone (315) 445-1577
5000 Brittonfield Pkwy
Ste A102
East Syracuse, NY 13057
Phone (315) 432-0555
Interoperability endpoints
- rweisenthal@cnyeyecare.medentdirect.com
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- East Syracuse, NY
- NPI 1205929288
-
- Ophthalmology Physician
- Syracuse, NY
- NPI 1225072051
-
- Eyewear Supplier
- Camillus, NY
- NPI 1598294399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1508957507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132140048",
"telephone_number": "315-445-1577",
"fax_number": "315-445-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 COMMONS PARK",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130579400",
"telephone_number": "315-445-1577",
"fax_number": "315-445-4862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISENTHAL",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "1740541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01076719",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.