Active NPI
Stephanie Ruth Weiss, MD, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Schenectady, NY
National Provider Identifier
1548553365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 267183
- Practice address
- 600 McClellan St
Schenectady, NY 12304-1009 - Phone
- (518) 382-2270
- NPI assigned
- May 26, 2011
- Last updated
- Sep 5, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 267183 | NY | Primary |
Addresses
Primary practice location
600 McClellan St
Schenectady, NY 12304-1009
Mailing address
1809 Potter Rd
Amsterdam, NY 12010-8522
Phone (518) 382-2270
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267183 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Hospital | Current | Accepting new patients |
Locations
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441411200000",
"number": "1548553365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 POTTER RD",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120108522",
"telephone_number": "518-382-2270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MCCLELLAN ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123041009",
"telephone_number": "518-382-2270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "STEPHANIE",
"middle_name": "RUTH",
"name_prefix": "Dr.",
"credential": "MD, DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-26",
"last_updated": "2015-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "267183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.