Individual provider Active NPI

Jonathan Weiss, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1720312317
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
254949 Issued in NY
Practice address
31 W 9TH St
Garden LVL Ste 1
New York, NY 10011-9206
Phone
(646) 285-2436
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 254949 NY Primary
Child & Adolescent Psychiatry Physician 2084P0804X 254949 NY
Forensic Psychiatry Physician 2084F0202X 254949 NY

Addresses

Primary practice location

31 W 9TH St
Garden LVL Ste 1
New York, NY 10011-9206

Mailing address

31 W 9TH St
Garden LVL Ste 1
New York, NY 10011-9206
Phone (646) 285-2436

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
I20160706002108 NY Practitioner - Psychiatry 7012215346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254949NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Psychiatric Associates of Manhattan PLLC Psychiatry CurrentSince May 2, 2016 Accepting new patients

Locations

39 W 14th St
Ste 506
New York, NY 10011
Phone (212) 673-2099

32 Union Sq E
Ste 300
New York, NY 10003
Phone (212) 677-3989

Organizations & group practices 1

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1720312317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 9TH ST",
            "address_2": "GARDEN LVL STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119206",
            "telephone_number": "646-285-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 9TH ST",
            "address_2": "GARDEN LVL STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100119206",
            "telephone_number": "646-285-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "254949",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "254949",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NY",
            "license": "254949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.