Active NPI
Jay M. Weiss MD P.C.
- Physical Medicine & Rehabilitation Physician
- Jericho, NY
National Provider Identifier
1649569062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 168280-1
- Legal business name
- JAY M. WEISS MD P.C.
- Practice address
- 400 North Broadway
Jericho, NY 11753 - Phone
- (516) 579-6700
- Fax
- (516) 579-6839
- NPI assigned
- Apr 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay M Weiss, MD
- Title
- Owner
- Phone
- (516) 579-6700
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 001453 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 168280-1 | NY | Primary |
| Pain Medicine Physician | 208VP0000X | 168280-1 | NY |
Addresses
Primary practice location
400 North Broadway
Jericho, NY 11753
Mailing address
400 North Broadway
Jericho, NY 11753
Phone (516) 579-6700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302048000000",
"number": "1649569062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 NORTH BROADWAY",
"city": "JERICHO",
"state": "NY",
"postal_code": "11753",
"telephone_number": "516-579-6700",
"fax_number": "516-579-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NORTH BROADWAY",
"city": "JERICHO",
"state": "NY",
"postal_code": "11753",
"telephone_number": "516-579-6700",
"fax_number": "516-579-6839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY M. WEISS MD P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-579-6700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NY",
"license": "001453",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "168280-1",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "NY",
"license": "168280-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jericho, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.