NPIMap

Individual provider Active NPI

Jay Elliot Weissbluth, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1659376119
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
166454 Issued in NY
Practice address
3019 Ave U
Brooklyn, NY 11229-5111
Phone
(718) 934-1800
Fax
(718) 891-5208
NPI assigned
Jun 20, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 166454 NY Primary

Addresses

Primary practice location

3019 Ave U
Brooklyn, NY 11229-5111

Mailing address

3019 Avenue U
Brooklyn, NY 11229-5111
Phone (718) 934-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050618000174 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6901840735 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Community Health Initiatives, Inc.Group PAC ID 6709185408, 23 clinicians
Major Medicine, PCGroup PAC ID 5496805392, 2 clinicians

Practice addresses (Care Compare)

1419 Mermaid Ave
Brooklyn, NY 11224-2615
Phone (718) 210-3110

3019 Ave U
Brooklyn, NY 11229-5111
Phone (718) 934-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.08 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy183
Upper gastrointestinal (GI) endoscopy for acid reflux107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Initiatives, Inc. CurrentSince Oct 15, 2017 Accepting new patients
Major Medicine, PC Specialist CurrentSince Apr 1, 2009 Accepting new patients
Integrated Triborough Medical, PLLC Past Accepting new patients
Total Kings Medical Care, P.C. PastSince May 1, 2005 Accepting new patients
Doral Pharmacy LLC PastSince May 19, 2021 Accepting new patients
Monogram Medical, PC PastSince Oct 14, 2009 Accepting new patients
Boulevard Multispecialty Medical PC PastSince Jan 13, 1996 Accepting new patients

Locations

1419 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 210-3110

3019 Avenue U
Brooklyn, NY 11229
Phone (718) 373-2700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_chi

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659376119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295111",
            "telephone_number": "718-934-1800",
            "fax_number": "718-891-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 AVE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295111",
            "telephone_number": "718-934-1800",
            "fax_number": "718-891-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSBLUTH",
        "first_name": "JAY",
        "middle_name": "ELLIOT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "166454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.