Active NPI
Douglas N Weiner, DPM
- Podiatrist
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N0043481
- Practice address
- 1150 Webster Ave
Bronx, NY 10456-5205 - Phone
- (347) 271-5338
- Fax
- (347) 726-8264
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N0043481 | NY | Primary |
Addresses
Primary practice location
1150 Webster Ave
Bronx, NY 10456-5205
Mailing address
1150 Webster Ave Ste 2
Bronx, NY 10456-5205
Phone (347) 271-5338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01052515 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0043481 | NY | MD | Podiatrist |
| 004348 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Medical Family Practice PC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Ag Urgent Care, P.C. | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients |
Locations
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
4809 Avenue N
Brooklyn, NY 11234
Phone (718) 252-4120
1295 Broadway
Brooklyn, NY 11221
Phone (718) 682-3903
9525 Church Ave
Brooklyn, NY 11212
Phone (718) 513-6178
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
16814 Jamaica Ave
Jamaica, NY 11432
Phone (718) 650-5553
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1992116701
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1316461387
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1396322467
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1679535017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 WEBSTER AVE STE 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104565205",
"telephone_number": "347-271-5338",
"fax_number": "347-726-8264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 WEBSTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104565205",
"telephone_number": "347-271-5338",
"fax_number": "347-726-8264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINER",
"first_name": "DOUGLAS",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N0043481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01052515",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.