Active NPI
Lauren Elena Weissberg, BSN, RN-BC
- Administrator Registered Nurse
- Brooklyn, NY
National Provider Identifier
1750950978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 746708-1
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 746708-1 | NY | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remote Medical PC | Current | Accepting new patients |
Locations
6619 13th Ave
Brooklyn, NY 11219
Phone (347) 970-9164
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.