Morton B Weinberg MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

083410 Issued in NY

Legal business name

MORTON B WEINBERG MD PC

Practice address

373 Route 111
Suite 10
Smithtown, NY 11787-4759

Phone

(631) 265-2928

Fax

(631) 366-4545

NPI assigned

Nov 13, 2009

Organization subpart

No

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

Authorized official

Name

Katie Lee Lave

Title

Billing/Office Manager

Phone

(631) 265-2928

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1609103522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 ROUTE 111",
            "address_2": "SUITE 10",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874759",
            "telephone_number": "631-265-2928",
            "fax_number": "631-366-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 ROUTE 111",
            "address_2": "SUITE 10",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874759",
            "telephone_number": "631-265-2928",
            "fax_number": "631-366-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON B WEINBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "LAVE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING/OFFICE MANAGER",
        "authorized_official_telephone_number": "631-265-2928"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "083410",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "083410",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "083410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Moritz
• Lisa Morrelli, M.A. CCC-SLP
• Danielle Louise Morris, MA/CCC/SLP
• Robert Peter Morris, M.D.
• Lisa Morrone, P.T.
• Kenneth Moss, L.AC.
• Lauren Moss
• Joann Nancy Most, L.C.S.W.
• Sonia Motwani, DDS
• Christine Egeria Mouzakitis, NP

• Dermatology Physician in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.