Individual provider Active NPI

Kenneth N Weinstein, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1609969609
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
085858 Issued in NY
Practice address
262 Central Park West
Suite 1Ee
New York, NY 10024-3512
Phone
(212) 799-2627
Fax
(212) 799-2643
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 085858 NY Primary

Addresses

Primary practice location

262 Central Park West
Suite 1Ee
New York, NY 10024-3512

Mailing address

262 Central Park West
Suite 1Ee
New York, NY 10024-3512
Phone (212) 799-2627

Other identifiers 7

IdentifierTypeStateIssuer
2C3696OtherHEALTHNET
4279779OtherAETNA PPO
577007OtherAETNA HMO
00132169MedicaidNY
589394OtherUNITED HEALTHCARE
437831OtherEMPIRE BCBS
NP133OtherOXFORD

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
I20100712000123 NY Practitioner - Internal Medicine 0345370755 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085858NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella Geriatric Center, Inc. CurrentSince Jul 24, 2010 Accepting new patients

Locations

515 Audubon Ave
New York, NY 10040
Phone (212) 342-9200

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609969609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 CENTRAL PARK WEST",
            "address_2": "SUITE 1EE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243512",
            "telephone_number": "212-799-2627",
            "fax_number": "212-799-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CENTRAL PARK WEST",
            "address_2": "SUITE 1EE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243512",
            "telephone_number": "212-799-2627",
            "fax_number": "212-799-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "KENNETH",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "085858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2C3696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4279779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "577007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00132169",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "589394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "437831",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NP133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.