Active NPI
Paul Justin Weissblatt, M.D.
- Gastroenterology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME143735
- Practice address
- 506 6TH St
Brooklyn, NY 11215 - Phone
- (718) 780-3000
- NPI assigned
- Feb 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME143735 | FL | Primary |
Addresses
Primary practice location
506 6TH St
Brooklyn, NY 11215
Mailing address
625 Del Prado Blvd S
Cape Coral, FL 33990-2667
Phone (239) 772-3636
Other practice location 1
15 Dunmore Rd
New City, NY 10956-4424
Phone (845) 642-2882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13051 University Dr
Suite 101
Fort Myers, FL 33907-5704
Phone (239) 433-3636
4790 Barkley Cir
Suite a
Fort Myers, FL 33907-7593
Phone (239) 275-8882
625 Del Prado Blvd S
Suite 200
Cape Coral, FL 33990-2667
Phone (239) 772-3636
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 173 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME143735 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgery Centre of SW Florida LLC | Past | Accepting new patients | |
| Surgery Centre of SW Florida LLC | Past | Accepting new patients |
Interoperability endpoints
- paul.weissblatt@ud.eclinicaldirectplus.com
- pweissblatt236716@direct.englewoodhealth.org
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1154304087
-
dba Cape Health Surgery Center
- Ambulatory Surgical Clinic/Center
- Cape Coral, FL
- NPI 1881969269
-
dba Fort Myers Surgery Center
- Ambulatory Surgical Clinic/Center
- Fort Myers, FL
- NPI 1972092146
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1619274172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902667",
"telephone_number": "239-772-3636",
"fax_number": "239-772-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 6TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-780-3000"
}
],
"practiceLocations": [
{
"address_1": "15 Dunmore Rd",
"address_purpose": "LOCATION",
"city": "New City",
"state": "NY",
"postal_code": "109564424",
"country_code": "US",
"telephone_number": "845-642-2882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISSBLATT",
"first_name": "PAUL",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME143735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.