Active NPI
Rebecca Elaine Weiss, MD
- Pediatrics Physician
- New York, NY
National Provider Identifier
1609324516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 321145
- Practice address
- Ryan Health Women'S and Children'S
801 Amsterdam Ave
New York, NY 10025 - Phone
- (212) 749-1820
- NPI assigned
- Sep 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.075490 | IL | |
| Pediatrics Physician | 208000000X | 321145 | NY | Primary |
Addresses
Primary practice location
Ryan Health Women'S and Children'S
801 Amsterdam Ave
New York, NY 10025
Mailing address
Ryan Health Women'S and Children'S
801 Amsterdam Ave
New York, NY 10025
Phone (212) 749-1820
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321145 | NY | MD | Licensed Practical Nurse |
| 321154 | NY | MD | Licensed Practical Nurse |
| 125.075490 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| William F Ryan Community Health Center Inc | Current | Accepting new patients | |
| Ryan-Chelsea Clinton Community Health Center | Past | Accepting new patients |
Locations
110 W 97th St
New York, NY 10025
Phone (212) 316-7906
110 W 97th St
#0
New York, NY 10025
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1851328199
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1043079064
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1730317769
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1215978960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1609324516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RYAN HEALTH WOMEN'S AND CHILDREN'S",
"address_2": "801 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-749-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RYAN HEALTH WOMEN'S AND CHILDREN'S",
"address_2": "801 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-749-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "REBECCA",
"middle_name": "ELAINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2023-07-24",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.075490",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "321145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.