Jeffrey Weisbord, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060610 Issued in NY

Practice address

10420 Queens Blvd Ste 1G
Forest Hills, NY 11375-8149

Phone

(347) 566-1392

NPI assigned

May 25, 2018

Last updated

Sep 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1750872677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CONTINENTAL AVE APT 4G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD STE 1G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113758149",
            "telephone_number": "347-566-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBORD",
        "first_name": "JEFFREY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060610",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Allen Weinberg, MA, MS
• Gary Weinstein, MD
• Joshua W Weinstein, MD
• Lili Weinstein, M.D.
• Russell Scott Weinstein, M.D.
• Stephen S Weisglass, DMD
• Marcia G. Weisman, LCSW
• Mitchell Lee Weisman, MD
• Matthew Brian Weiss, D.C
• Stephan Allen Weitz, BC-HIS

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.

Verify at the official NPI Registry.