Individual provider Active NPI

Isaac B Weisfuse, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1548205677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1724261 Issued in NY
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

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1724261NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.