Active NPI
Isaac B Weisfuse, MD
- Internal Medicine Physician
- New York, NY
National Provider Identifier
1548205677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 1724261
- Practice address
- 455 1St Ave
Nycddh Bureau of Laboratories
New York, NY 10016-9102 - Phone
- (212) 442-8468
- Fax
- (212) 442-8452
- NPI assigned
- Jun 20, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1724261 | NY | Primary |
Addresses
Primary practice location
455 1St Ave
Nycddh Bureau of Laboratories
New York, NY 10016-9102
Mailing address
125 Worth St
Room 901 Box 74 Nycdohmh Division of Disease Control
New York, NY 10013-4006
Phone (212) 442-8468
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1724261 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of New York Department of Finance | Past | Accepting new patients | |
| City of New York Office of Payroll Administration | 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.
-
dba City of New York Office of Payroll Administration
- Clinical Medical Laboratory
- New York, NY
- NPI 1629024559
-
dba New York City Department of Health & Mental Hygienes Manhattanville H
- Community Health Clinic/Center
- New York, NY
- NPI 1659327674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548205677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WORTH ST",
"address_2": "ROOM 901 BOX 74 NYCDOHMH DIVISION OF DISEASE CONTROL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134006",
"telephone_number": "212-442-8468",
"fax_number": "212-442-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 1ST AVE",
"address_2": "NYCDDH BUREAU OF LABORATORIES",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169102",
"telephone_number": "212-442-8468",
"fax_number": "212-442-8452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISFUSE",
"first_name": "ISAAC",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1724261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
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.