Organization Active NPI

Barry M Weinberg DDS.PC.

  • Dentist
  • Kew Gardens, NY
National Provider Identifier
1558504209
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BARRY M WEINBERG DDS.PC.
Practice address
8340 Austin St
Kew Gardens, NY 11415-1833
Phone
(718) 847-4694
Fax
(718) 847-4695
NPI assigned
Apr 10, 2009
Last updated
Apr 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. Barry M Weinberg, DDS
Title
President
Phone
(718) 847-4694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

8340 Austin St
Kew Gardens, NY 11415-1833

Mailing address

8340 Austin St
Kew Gardens, NY 11415-1833
Phone (718) 847-4694

Other identifiers 1

IdentifierTypeStateIssuer
01752478MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1558504209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 AUSTIN ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151833",
            "telephone_number": "718-847-4694",
            "fax_number": "718-847-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 AUSTIN ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151833",
            "telephone_number": "718-847-4694",
            "fax_number": "718-847-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY M WEINBERG DDS.PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-847-4694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01752478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.