Individual provider Active NPI

Robert A Weinberg, PTBSMA

  • Physical Therapist
  • Woodmere, NY
National Provider Identifier
1740471762
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010051-1 Issued in NY
Practice address
763 Cedar LN
Woodmere, NY 11598-2610
Phone
(516) 312-8655
NPI assigned
Aug 6, 2007
Last updated
Dec 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01454131MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060506000017 NY Practitioner - Physical Therapist in Private Practice 5395756290 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010051-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Priority One Therapy PT OT SLP PLLC CurrentSince Oct 15, 2014 Accepting new patients
B Stern Physical Therapy P.C. Physical Therapist CurrentSince Mar 27, 2018 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.