Individual provider Active NPI

Jeffrey M Weinberg, MD

  • Dermatology Physician
  • Kew Gardens, NY
National Provider Identifier
1689660565
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
206843 Issued in NY
Practice address
8002 Kew Gardens Rd Ste 107
Kew Gardens, NY 11415-3600
Phone
(718) 459-0900
Fax
(718) 459-0910
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 206843 NY Primary

Addresses

Primary practice location

8002 Kew Gardens Rd Ste 107
Kew Gardens, NY 11415-3600

Mailing address

200 Riverside Blvd Apt 7I
New York, NY 10069-0908
Phone (917) 309-3881

Other practice location 1

10 Union Sq E
Suite 3C
New York, NY 10003-3314
Phone (212) 844-8800

Other identifiers 1

IdentifierTypeStateIssuer
01756087MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000691 NY Practitioner - Dermatology 5698754265 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bedford Medical Family Health CenterGroup PAC ID 5991694457, 4 clinicians
Forest Hills Dermatology Group PLLCGroup PAC ID 6608037320, 14 clinicians

Practice addresses (Care Compare)

10 Union SQ E
New York, NY 10003-3314
Phone (212) 420-2000

100 Ross St
Brooklyn, NY 11249-7672
Phone 7183877628100

5 E 98TH St
FL 5
New York, NY 10029-6501
Phone (212) 241-8234

8002 Kew Gardens Rd
Kew Gardens, NY 11415-3600
Phone (718) 459-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions773
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206843NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Oct 3, 2011 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2019 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Mar 1, 2020 Accepting new patients
RLD Medical Services, PC CurrentSince Sep 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Forest Hills Dermatology Group PLLC Dermatology CurrentSince Apr 5, 2012 Accepting new patients
Dial Doc Now Medical Group PC CurrentSince Oct 20, 2020 Accepting new patients
Jamaica Hospital CurrentSince Oct 3, 2011 Accepting new patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Jan 1, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Dermatology CurrentSince Mar 1, 2019 Accepting new patients
John F. Romano M.D. PLLC Dermatology Past Accepting new patients
Bimc Faculty Practice Dermatology Past Accepting new patients
St Lukes Roosevelt Community Care Dermatology Past Accepting new patients
St Lukes-Roosevelt Hospital Center Dermatology Past Accepting new patients
Beth Israel Medical Center Dermatology Past Accepting new patients

Locations (25 of 39)

1245 Southern Blvd
Bronx, NY 10459
Phone (718) 249-2201

100 W Kingsbridge Rd
Bronx, NY 10468
Phone (718) 410-1480

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

350 Fulton St
Ste 2
Brooklyn, NY 11201
Phone (718) 488-8585

256 Ainslie St
Brooklyn, NY 11211
Phone (917) 909-1786

350 Fulton St
Brooklyn, NY 11201
Phone (718) 875-1144

10740 Queens Blvd
Ste 204
Forest Hills, NY 11375
Phone (718) 268-8845

10311 68th Dr
Forest Hills, NY 11375
Phone (347) 642-5315

14717 Jamaica Ave
Jamaica, NY 11435
Phone (718) 658-1700

9009 Van Wyck Expy
Jamaica, NY 11435
Phone (718) 206-5575

8002 Kew Gardens Rd
Ste 107
Kew Gardens, NY 11415
Phone (718) 459-0900

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

981 Amsterdam Ave
New York, NY 10025
Phone (212) 222-0075

430 E 14th St
New York, NY 10009

425 W 59th St
New York, NY 10019
Phone (212) 376-3180

452 Fort Washington Ave
Lowr
New York, NY 10033

2256 2nd Ave
Fl 3
New York, NY 10029
Phone (212) 222-0075

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1090 Amsterdam Ave
#11D
New York, NY 10025
Phone (212) 523-3884

3847 10th Ave
New York, NY 10034
Phone (646) 344-1715

10 Union Sq E
#3A
New York, NY 10003
Phone (212) 241-4812

10 Union Sq E
Ste 3C
New York, NY 10003
Phone (212) 523-5898

10 Union Sq E
New York, NY 10003
Phone (212) 253-6800

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

Networks

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

Organizations & group practices 17

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.

View all 17

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1689660565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVERSIDE BLVD APT 7I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100690908",
            "telephone_number": "917-309-3881",
            "fax_number": "913-490-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 KEW GARDENS RD STE 107",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114153600",
            "telephone_number": "718-459-0900",
            "fax_number": "718-459-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Union Sq E",
            "address_2": "Suite 3C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100033314",
            "country_code": "US",
            "telephone_number": "212-844-8800",
            "fax_number": "212-844-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "206843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01756087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

Verify at the official NPI Registry.