Individual provider Active NPI

Stanley Weindorf, M.D.

  • Pediatrics Physician
  • Plainview, NY
National Provider Identifier
1558446237
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
137691 Issued in NY
Practice address
202 Terminal Dr
Ste 2
Plainview, NY 11803-2312
Phone
(516) 576-0202
Fax
(516) 576-8872
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 137691 NY Primary

Addresses

Primary practice location

202 Terminal Dr
Ste 2
Plainview, NY 11803-2312

Mailing address

202 Terminal Dr
Ste 2
Plainview, NY 11803-2312
Phone (516) 576-0202

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140305001618 NY Practitioner - Pediatric Medicine 4981834223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
137691NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbury Pediatrics Associates, LLP Pediatrics Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1558446237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 TERMINAL DR",
            "address_2": "STE 2",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032312",
            "telephone_number": "516-576-0202",
            "fax_number": "516-576-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 TERMINAL DR",
            "address_2": "STE 2",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032312",
            "telephone_number": "516-576-0202",
            "fax_number": "516-576-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINDORF",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "137691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.