Active NPI
Elise Weiss MD PC
- Physical Medicine & Rehabilitation Physician
- New York, NY
National Provider Identifier
1710129010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 236095
- Legal business name
- ELISE WEISS MD PC
- Practice address
- 515 Madison Avene
Suite 1906
New York, NY 10022 - Phone
- (212) 752-6770
- Fax
- (212) 754-0369
- NPI assigned
- Apr 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elise Weiss, MD
- Title
- Owner
- Phone
- (212) 752-6770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 236095 | NY | Primary |
Addresses
Primary practice location
515 Madison Avene
Suite 1906
New York, NY 10022
Mailing address
515 Madison Avene
Suite 1906
New York, NY 10022
Phone (212) 752-6770
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2188865 | Elise Weiss MD PC | Certificate of waiver | Jul 22, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1710129010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 MADISON AVENE",
"address_2": "SUITE 1906",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-752-6770",
"fax_number": "212-754-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 MADISON AVENE",
"address_2": "SUITE 1906",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10022",
"telephone_number": "212-752-6770",
"fax_number": "212-754-0369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELISE WEISS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "ELISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "212-752-6770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "236095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.