Organization Active NPI

Geoffrey Weisman, M.D., PLLC

  • Ophthalmology Physician
  • Holbrook, NY
National Provider Identifier
1649467051
Registry record updated Sep 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
138665 Issued in NY
Legal business name
GEOFFREY WEISMAN, M.D., PLLC
Practice address
233 Union Ave
Suite 103
Holbrook, NY 11741-1820
Phone
(631) 585-1527
NPI assigned
Sep 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2007

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

Authorized official

Name
Dr. Geoffery Weisman, M.D.
Title
President
Phone
(631) 585-1527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 138665 NY Primary

Addresses

Primary practice location

233 Union Ave
Suite 103
Holbrook, NY 11741-1820

Mailing address

233 Union Ave
Suite 103
Holbrook, NY 11741-1820
Phone (631) 585-1527

Other identifiers 1

IdentifierTypeStateIssuer
00694133MedicaidNY

National Provider Directory

National Provider Directory

Locations

233 Union Ave
Ste 103
Holbrook, NY 11741
Phone (631) 585-1527

Practitioners & affiliated clinicians

Practitioners 1

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": "1191024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191024000000",
    "number": "1649467051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 UNION AVE",
            "address_2": "SUITE 103",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411820",
            "telephone_number": "631-585-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 UNION AVE",
            "address_2": "SUITE 103",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411820",
            "telephone_number": "631-585-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY WEISMAN, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-29",
        "last_updated": "2007-09-29",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "GEOFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-585-1527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "138665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00694133",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.