Individual provider Active NPI

Andrew Michael Weinberg, D.O.

  • Cardiovascular Disease Physician
  • Fayetteville, NY
National Provider Identifier
1750572657
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
261555 Issued in NY
Practice address
510 Towne Dr
Fayetteville, NY 13066-1331
Phone
(315) 663-0500
Fax
(315) 663-0514
NPI assigned
Aug 6, 2007
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 25MB08389300 NJ
Cardiovascular Disease Physician 207RC0000X 261555 NY Primary

Addresses

Primary practice location

510 Towne Dr
Fayetteville, NY 13066-1331

Mailing address

510 Towne Dr
Fayetteville, NY 13066-1331
Phone (315) 663-0500

Other practice location 1

5112 W Taft Rd Ste J
Liverpool, NY 13088-4866
Phone (315) 701-2170

Other identifiers 1

IdentifierTypeStateIssuer
03344245MedicaidNY

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
I20110620000616 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143408260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

138 E Genesee St
Suite 1
Baldwinsville, NY 13027-2720
Phone (315) 720-1305

4900 Broad Rd
Syracuse, NY 13215-2265

510 Towne Dr
Fayetteville, NY 13066-1331
Phone (315) 663-0500

5112 W Taft Rd
Suite J
Liverpool, NY 13088-4866
Phone (315) 701-2170

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4457

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08389300NJMDInternal Medicine Physician
261555NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Internal Medicine CurrentSince Mar 5, 2019 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Mar 5, 2019 Accepting new patients
St. Joseph's Pathology, PC Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Jul 20, 2011 Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
North Medical PC Internal Medicine Current Accepting new patients
Familycare Medical Group, PC Internal Medicine Past Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients
Cny North Urgent Care PLLC Past Accepting new patients

Locations

6221 State Route 31
Ste 10
Cicero, NY 13039

6221 State Route 31
Ste 104
Cicero, NY 13039
Phone (315) 698-4888

4507 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7100

510 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-4747

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

5112 W Taft Rd
Ste J
Liverpool, NY 13088
Phone (315) 701-2170

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • Direct secure messaging: aweinberg88575@direct.upstate.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1568592000000",
    "number": "1750572657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 TOWNE DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661331",
            "telephone_number": "315-663-0500",
            "fax_number": "315-663-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 TOWNE DR",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661331",
            "telephone_number": "315-663-0500",
            "fax_number": "315-663-0514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5112 W Taft Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130884866",
            "country_code": "US",
            "telephone_number": "315-701-2170",
            "fax_number": "315-701-2185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08389300",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "261555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03344245",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

Verify at the official NPI Registry.