Organization Active NPI

Joshua Weinstein MD PC

  • Rheumatology Physician
  • Forest Hills, NY
National Provider Identifier
1548575459
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
119660 Issued in NY
Legal business name
JOSHUA WEINSTEIN MD PC
Practice address
72-35 112TH Street
PR7
Forest Hills, NY 11375
Phone
(718) 575-0649
Fax
(718) 575-1250
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Dr. Joshua W. Weinstein, M.D.NPI 1487721106
Title
President
Phone
(708) 575-0649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 119660 NY Primary

Addresses

Primary practice location

72-35 112TH Street
PR7
Forest Hills, NY 11375

Mailing address

72-35 112TH St
PR 7
Forest Hills, NY 11375-5469
Phone (718) 575-0649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110126000512 NY Part B Supplier - Clinic/Group Practice 0941489769 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0151092Joshua Weinstein MD72-35 112TH Street, Forest Hills, NY 11375Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory

Locations

7235 112th St
Ste PR7
Forest Hills, NY 11375
Phone (718) 575-0649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1548575459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72-35 112TH ST",
            "address_2": "PR 7",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755469",
            "telephone_number": "718-575-0649",
            "fax_number": "718-575-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72-35 112TH STREET",
            "address_2": "PR7",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-575-0649",
            "fax_number": "718-575-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA WEINSTEIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-575-0649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "119660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.