Ivan Gregory Weiner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

009656 Issued in NY

Practice address

468 S Gannon Ave
Staten Island, NY 10314-7610

Phone

(718) 556-5360

Fax

(718) 477-5739

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CJS Chiropractic

  • Chiropractor
  • Staten Island, NY
  • NPI 1770861429
  NPD (past)
• CJS Chiropractic PLLC

  • Chiropractor
  • Staten Island, NY
  • NPI 1194062075
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1740323542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140386",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103140386",
            "telephone_number": "718-556-5360",
            "fax_number": "718-477-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 S GANNON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147610",
            "telephone_number": "718-556-5360",
            "fax_number": "718-477-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "IVAN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B Weinberg, MD
• Stephanie Weinberg, L.M.S.W.
• Itah Weinberger
• Alyssa Weinblatt
• Arthur Weiner, MS.ED
• Kevin Harris Weiner, M.D.
• Seth E Weiner, DDS
• Sarah Weingarten
• Baila Weingot, M.D.
• Stanley Weinstein, DDS

• Chiropractor in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.