Individual provider Active NPI

Eric Weitzner, ERIC WEITZNER, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1689872988
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
135617 Issued in NY
Practice address
250 W 75TH St Apt 8a
New York, NY 10023-1729
Phone
(917) 775-3096
NPI assigned
Jul 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 135617 NY Primary

Addresses

Primary practice location

250 W 75TH St Apt 8a
New York, NY 10023-1729

Mailing address

250 W 75TH St Apt 8a
New York, NY 10023-1729
Phone (917) 775-3096

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
I20071201000084 NY Practitioner - Psychiatry 4981793783 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

250 W 75 St
Apt 8a
New York, NY 10023

250 W 75TH St
Apt 8a
New York, NY 10023-1729
Phone (917) 775-3096

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1689872988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 75TH ST APT 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231729",
            "telephone_number": "917-775-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 75TH ST APT 8A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231729",
            "telephone_number": "917-775-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZNER",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "ERIC WEITZNER, M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-07",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "135617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.