Individual provider Active NPI

Gerard Weinberg, MD

  • Pediatric Surgery Physician
  • Stamford, CT
National Provider Identifier
1700968963
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
42014 Issued in CT
Practice address
32 Strawberry Hill CT Ste 7
Stamford, CT 06902-2594
Phone
(203) 276-7307
Fax
(203) 276-2027
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 120819 NY
Pediatric Surgery Physician 2086S0120X 42014 CT Primary

Addresses

Primary practice location

32 Strawberry Hill CT Ste 7
Stamford, CT 06902-2594

Mailing address

32 Strawberry Hill CT Ste 7
Stamford, CT 06902-2594
Phone (203) 276-7307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050411001029 NY Practitioner - General SurgeryPractitioner - Other (Physician) 3375580418
I20180403000154 CT Practitioner - Pediatric Medicine 3375580418 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Stamford Health Medical Group Inc CurrentSince Mar 1, 2018 Accepting new patients

Locations

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

32 Strawberry Hill Ct
Fl 1
Stamford, CT 06902

32 Strawberry Hill Ct
Ste 7
Stamford, CT 06902
Phone (203) 276-5912

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200

Interoperability endpoints

  • Direct secure messaging: gweinberg24801@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700968963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT STE 7",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-276-7307",
            "fax_number": "203-276-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 STRAWBERRY HILL CT STE 7",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022594",
            "telephone_number": "203-276-7307",
            "fax_number": "203-276-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "GERARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "120819",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CT",
            "license": "42014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.