Marc S Weinberg, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD05402 Issued in RI

Practice address

1 Randall SQ Ste 304
Providence, RI 02904-2773

Phone

(401) 228-3000

Fax

(401) 649-4222

NPI assigned

May 23, 2005

Last updated

Aug 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dr. Marc S Weinberg Professional name

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Heritage Medical Associates PC

  • Internal Medicine Physician
  • Pawtucket, RI
  • NPI 1003982547
  Medicare reassignment
• Marc Weinberg MD Personal Healthcare LTD

  • Nephrology Physician
  • Providence, RI
  • NPI 1457509556
  Authorized official Same address or phone

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1558364604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TALBOT WAY",
            "city": "SEEKONK",
            "state": "MA",
            "postal_code": "027712802",
            "telephone_number": "508-399-8332",
            "fax_number": "615-234-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RANDALL SQ STE 304",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029042773",
            "telephone_number": "401-228-3000",
            "fax_number": "401-649-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Newman Ave",
            "address_purpose": "LOCATION",
            "city": "Seekonk",
            "state": "MA",
            "postal_code": "027714608",
            "country_code": "US",
            "telephone_number": "401-228-3000",
            "fax_number": "401-649-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "MARC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "RI5402",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MA",
            "license": "43058",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "MD05402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000252",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARC",
            "last_name": "WEINBERG",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrea Weidele, MS
• Leslie Weidenman, PH.D
• Gabriela Marie Weigel
• Barbara Jane Weil, M.D.
• Marcus Weimar, PA
• Kathryn E Weiner, LICSW
• Lewis R Weiner, MD
• Jolie Weingeroff, PH.D
• Lauren M Weinstock, PHD
• Martin A Weinstock, MD,PHD

• Nephrology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Nephrology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.

Verify at the official NPI Registry.