Organization Active NPI

Robert M. Weinstock MDPC

  • Family Medicine Physician
  • Phila, PA
National Provider Identifier
1639216385
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT M. WEINSTOCK MDPC
Practice address
515 W Chelten Ave
Phila, PA 19144-4414
Phone
(215) 848-6700
Fax
(215) 843-0770
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. Robert M Weinstock
Title
President
Phone
(215) 848-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

515 W Chelten Ave
Phila, PA 19144-4414

Mailing address

515 W Chelten Ave
Phila, PA 19144-4414
Phone (215) 848-6700

Other identifiers 1

IdentifierTypeStateIssuer
0019446710001MedicaidPA

Other names 1

  • Parkside Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610001033 PA Part B Supplier - Clinic/Group Practice 7315920303 Receives reassigned benefits from 3 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1639216385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W CHELTEN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191444414",
            "telephone_number": "215-848-6700",
            "fax_number": "215-843-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W CHELTEN AVE",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191444414",
            "telephone_number": "215-848-6700",
            "fax_number": "215-843-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M. WEINSTOCK MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "WEINSTOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-848-6700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019446710001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.