Active NPI
Don Weiss, MD MPH
- Pediatrics Physician
- Long Island City, NY
National Provider Identifier
1619912748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 173221
- Practice address
- 4209 28TH St FL 6
Gotham Center, CN# 22a
Long Island City, NY 11101-4130 - Phone
- (347) 396-2626
- Fax
- (347) 396-2753
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 173221 | NY | Primary |
Addresses
Primary practice location
4209 28TH St FL 6
Gotham Center, CN# 22a
Long Island City, NY 11101-4130
Mailing address
4209 28TH St FL 6
Gotham Center, CN# 22a
Long Island City, NY 11101-4130
Phone (347) 396-2626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619912748 | Other | NPI |
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 |
|---|---|---|---|
| 173221 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of New York Office of Payroll Administration | Past | Accepting new patients | |
| City of New York Office of Payroll Administration | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Health Clinic/Center
- Staten Island, NY
- NPI 1366499444
-
- Community Health Clinic/Center
- New York, NY
- NPI 1659327674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1619912748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 28TH ST FL 6",
"address_2": "GOTHAM CENTER, CN# 22A",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014130",
"telephone_number": "347-396-2626",
"fax_number": "347-396-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 28TH ST FL 6",
"address_2": "GOTHAM CENTER, CN# 22A",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014130",
"telephone_number": "347-396-2626",
"fax_number": "347-396-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "DON",
"name_prefix": "Dr.",
"credential": "MD MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "173221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1619912748",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.