Active NPI
Robert A Weinberg, PTBSMA
- Physical Therapist
- Woodmere, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010051-1
- Practice address
- 763 Cedar LN
Woodmere, NY 11598-2610 - Phone
- (516) 312-8655
- NPI assigned
- Aug 6, 2007
- Last updated
- Dec 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010051-1 | NY | Primary |
Addresses
Primary practice location
763 Cedar LN
Woodmere, NY 11598-2610
Mailing address
763 Cedar Lane
Woodmere, NY 11598
Phone (516) 312-8655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01454131 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010051-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority One Therapy PT OT SLP PLLC | Current | Accepting new patients | |
| B Stern Physical Therapy P.C. | Physical Therapist | Current | Accepting new patients |
| Genesis Medical Health PC | Past | Accepting new patients | |
| Five Towns Neurology, PC | Past | Accepting new patients |
Locations
440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500
7120 110th St
Forest Hills, NY 11375
Phone (718) 305-1190
23 Robert Pitt Dr
Ste 110
Monsey, NY 10952
25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-5812
2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040
99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDEBBA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Monsey, NY
- NPI 1588814966
-
dba @Home Therapy
- Rehabilitation Practitioner
- Oceanside, NY
- NPI 1447517453
-
dba Five Towns Neuroscience Research
- Neurology Physician
- Woodmere, NY
- NPI 1558455089
-
- General Practice Physician
- Spring Valley, NY
- NPI 1295043099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1740471762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 CEDAR LANE",
"city": "WOODMERE",
"state": "NY",
"postal_code": "11598",
"telephone_number": "516-312-8655",
"fax_number": "516-312-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 CEDAR LN",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982610",
"telephone_number": "516-312-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINBERG",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PTBSMA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010051-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01454131",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.