NPIMap

Organization Active NPI

Harold Weissman MD PC

Doing business as Rego Park Medical Associates

  • Multi-Specialty Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1639371586
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
169881 Issued in NY
Legal business name
HAROLD WEISSMAN MD PC
Doing business as
Rego Park Medical Associates
Practice address
5910 Junction Blvd
Elmhurst, NY 11373-5156
Phone
(718) 592-3200
Fax
(718) 592-3844
NPI assigned
Jun 4, 2007
Last updated
Feb 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Dr. Audrey M Weissman, MDNPI 1780670919
Title
Owner / President
Phone
(718) 592-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 169881 NY Primary

Addresses

Primary practice location

5910 Junction Blvd
Elmhurst, NY 11373-5156

Mailing address

5910 Junction Blvd
Elmhurst, NY 11373-5156
Phone (718) 592-3200

Other identifiers 1

IdentifierTypeStateIssuer
00574167MedicaidNY

Other names 1

  • Rego Park Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040427001526 NY Part B Supplier - Clinic/Group Practice 6002803533 Receives reassigned benefits from 5 practitioners
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

4710 Greenpoint Ave
Sunnyside, NY 11104
Phone (718) 389-2500

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1639371586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 JUNCTION BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735156",
            "telephone_number": "718-592-3200",
            "fax_number": "718-592-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 JUNCTION BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735156",
            "telephone_number": "718-592-3200",
            "fax_number": "718-592-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD WEISSMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "718-592-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "169881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00574167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rego Park Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rego Park Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.