Active NPI
Stephen M Weiser, M.D.
- Diagnostic Radiology Physician
- Pleasantville, NY
National Provider Identifier
1598728255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 131791
- Practice address
- 104 Ashland Ave
Pleasantville, NY 10570-2302 - Phone
- (914) 747-0531
- Fax
- (914) 747-0531
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 131791 | NY | |
| Neuroradiology Physician | 2085N0700X | 131791 | NY | |
| Nuclear Radiology Physician | 2085N0904X | 131791 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 131791 | NY | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | 131791 | NY |
Addresses
Primary practice location
104 Ashland Ave
Pleasantville, NY 10570-2302
Mailing address
104 Ashland Ave
Pleasantville, NY 10570-2302
Phone (914) 747-0531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00942585 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131791 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Main Street PC | Diagnostic Radiology | Past | Accepting new patients |
| Queens Long Island Medical Group, P.C. | Past | Accepting new patients | |
| Main Street Radiology at Bayside LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1780771634
-
- Internal Medicine Physician
- New York, NY
- NPI 1891732038
-
- Diagnostic Radiology Physician
- Flushing, NY
- NPI 1265529101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1598728255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 ASHLAND AVE",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105702302",
"telephone_number": "914-747-0531",
"fax_number": "914-747-0531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 ASHLAND AVE",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105702302",
"telephone_number": "914-747-0531",
"fax_number": "914-747-0531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISER",
"first_name": "STEPHEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NY",
"license": "131791",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NY",
"license": "131791",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NY",
"license": "131791",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "131791",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NY",
"license": "131791",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00942585",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasantville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.