NPIMap

Individual provider Active NPI

Jed K. Weinstock, M.D.

  • Vascular & Interventional Radiology Physician
  • Lawrence, MA
National Provider Identifier
1649465253
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
270823 Issued in NY
Practice address
1 General St
Lawrence, MA 01841-2961
Phone
(978) 946-8103
NPI assigned
Sep 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 270823 NY Primary

Addresses

Primary practice location

1 General St
Lawrence, MA 01841-2961

Mailing address

2527 Cranberry Hwy
Wareham, MA 02571-1046
Phone (800) 841-5200

Other practice location 1

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3663

Other identifiers 2

IdentifierTypeStateIssuer
12584439OtherCAQH
03686266MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190201001794 MA Practitioner - Diagnostic Radiology 9931334919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
L and M Radiology IncGroup PAC ID 6305819228, 20 clinicians

Practice addresses (Care Compare)

1 General St
Lawrence, MA 01841-2961
Phone (978) 946-8103

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
  • Boston Medical Center Hospital, Boston, MA, CCN 220031
  • Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Bridge Imaging Group, LLC Vascular & Interventional Radiology CurrentSince Apr 1, 2021 Accepting new patients
Merrimack Valley Health Services Inc CurrentSince Sep 17, 2019 Accepting new patients
L & M Radiology, Inc. Vascular & Interventional Radiology CurrentSince Mar 1, 2019 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Jul 1, 2021 Accepting new patients
North Bridge Imaging Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Merrimack Valley Health Services Inc CurrentSince Sep 17, 2019 Accepting new patients

Locations

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1649465253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2527 CRANBERRY HWY",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025711046",
            "telephone_number": "800-841-5200",
            "fax_number": "508-273-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412961",
            "telephone_number": "978-946-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Atwell Rd",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "NY",
            "postal_code": "133261301",
            "country_code": "US",
            "telephone_number": "607-547-3663",
            "fax_number": "607-547-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINSTOCK",
        "first_name": "JED",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "270823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12584439",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03686266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.