Active NPI
Carla Isabel Weisfeld, DDS
- General Practice Dentistry
- Port Chester, NY
National Provider Identifier
1750547766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 053951-1
- Practice address
- 110 Willett Ave
Port Chester, NY 10573-4282 - Phone
- (914) 937-3733
- Fax
- (914) 937-3733
- NPI assigned
- Jul 30, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 053951-1 | NY | Primary |
Addresses
Primary practice location
110 Willett Ave
Port Chester, NY 10573-4282
Mailing address
18 Bronx St
Tuckahoe, NY 10707-3302
Phone (646) 546-7036
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629002715 | NY | Order and Referring Only - Dentist | 7911219225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053951-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carla Weisfeld DDS, P.C. | Current | Accepting new patients |
Locations
8916 Roosevelt Ave
#2
Jackson Heights, NY 11372
110 Willett Ave
Port Chester, NY 10573
Phone (914) 937-3733
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.
-
- Dentist
- Port Chester, NY
- NPI 1588986699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1750547766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 BRONX ST",
"city": "TUCKAHOE",
"state": "NY",
"postal_code": "107073302",
"telephone_number": "646-546-7036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WILLETT AVE",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105734282",
"telephone_number": "914-937-3733",
"fax_number": "914-937-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISFELD",
"first_name": "CARLA",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "053951-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.