Individual provider Active NPI

Lauren Elena Weissberg, BSN, RN-BC

  • Administrator Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1750950978
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
746708-1 Issued in NY
Practice address
6619 13TH Ave
Brooklyn, NY 11219-6122
Phone
(347) 970-9164
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 746708-1 NY Primary

Addresses

Primary practice location

6619 13TH Ave
Brooklyn, NY 11219-6122

Mailing address

2892 Shore Rd
Seaford, NY 11783-3334
Phone (516) 860-3274

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250715002788 NY Practitioner - Nurse Practitioner 9638684962 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
746708-1NYMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Remote Medical PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

6619 13th Ave
Brooklyn, NY 11219
Phone (347) 970-9164

Interoperability endpoints

  • Direct secure messaging: lauren.weissberg.1@33077.direct.athenahealth.com

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, 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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1750950978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2892 SHORE RD",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833334",
            "telephone_number": "516-860-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112196122",
            "telephone_number": "347-970-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSBERG",
        "first_name": "LAUREN",
        "middle_name": "ELENA",
        "name_prefix": "Miss",
        "credential": "BSN, RN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "746708-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.