Christine Chrysler Weidt, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NY-F381652 Issued in NY

Practice address

1770 Motor Pkwy
Mid-Suffolk Pediatrics
Islandia, NY 11749-5260

Phone

(631) 434-1770

NPI assigned

May 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750582870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GREENLAWN RD",
            "address_2": "WHITE HOUSE - GREEN DOOR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432933",
            "telephone_number": "631-470-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 MOTOR PKWY",
            "address_2": "MID-SUFFOLK PEDIATRICS",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495260",
            "telephone_number": "631-434-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDT",
        "first_name": "CHRISTINE",
        "middle_name": "CHRYSLER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "NY-F381652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2917)
• Wal-Mart Stores East, LP (Vision Center 30-2917)
• Walgreen Co (Rite Aid #10643)
• Walgreen Co (Walgreens #09190)
• Kristinmarie Watkinson
• Whitsons Food Service (Bronx) Corp.
• Briana Wick, PA-C
• Lynn E. Wohland, ATR-BC, LCAT
• James William Wyckoff, LMT
• Stephanie Zajac

• Pediatric Nurse Practitioner in Islandia, NY
• Providers in Islandia, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.