Individual provider Active NPI

Mark R Weigle, MD

  • Physical Medicine & Rehabilitation Physician
  • New Rochelle, NY
National Provider Identifier
1700896487
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2110991 Issued in NY
Practice address
140 Lockwood Ave # a
Suite #2
New Rochelle, NY 10801-4915
Phone
(914) 636-4466
Fax
(914) 636-0611
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2110991 NY Primary

Addresses

Primary practice location

140 Lockwood Ave # a
Suite #2
New Rochelle, NY 10801-4915

Mailing address

140 Lockwood Ave # a
Suite #2
New Rochelle, NY 10801-4915
Phone (914) 636-4466

Other identifiers 1

IdentifierTypeStateIssuer
02068720MedicaidNY

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
I20031209000946 NY Practitioner - Physical Medicine and Rehabilitation 5597661744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1994
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
Ricardo Mornaghi Physicians PLLCGroup PAC ID 7416906854, 4 clinicians

Practice addresses (Care Compare)

1088 N Broadway FL
2 Boyce Thompson Centre
Yonkers, NY 10701-1107
Phone (914) 636-4466

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

140 A Lockwood Ave
New Rochelle, NY 10801-4904
Phone (914) 636-4466

16 Guion PL
New Rochelle, NY 10801-5502
Phone (914) 365-3522

57 Washington Ave
New Rochelle, NY 10801-5528
Phone (914) 633-4443

967 N Broadway
St Johns Riverside Hospital
Yonkers, NY 10701-1301
Phone (914) 964-4444

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208
  • Montefiore New Rochelle Hospital Hospital, New Rochelle, NY, CCN 330184

Merit-based Incentive Payment System (MIPS)

Final score
92.84 of 100Reported as group
Quality
61.01
Promoting interoperability
97
Improvement activities
40
Cost
88.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2110991NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark R. Weigle, MD, P.C. CurrentSince Jul 1, 2007 Accepting new patients
Ricardo Mornaghi Physicians PLLC CurrentSince Apr 1, 2017 Accepting new patients

Locations

31 Lockwood Ave
New Rochelle, NY 10801
Phone (212) 410-9047

57 Washington Ave
New Rochelle, NY 10801
Phone (914) 633-4443

140 Lockwood Ave
Ste 2
New Rochelle, NY 10801
Phone (914) 636-4466

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

1088 N Broadway
#2
Yonkers, NY 10701
Phone (914) 636-4466

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

Networks

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

Interoperability endpoints

  • Direct secure messaging: mweigle@montefioredirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGEHCA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1700896487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE # A",
            "address_2": "SUITE #2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-4466",
            "fax_number": "914-636-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE # A",
            "address_2": "SUITE #2",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014915",
            "telephone_number": "914-636-4466",
            "fax_number": "914-636-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIGLE",
        "first_name": "MARK",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "2110991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02068720",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.