Individual provider Active NPI

Arthur Charles Weisenseel Jr., MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1770540569
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
093628 Issued in NY
Practice address
12 E 86TH St
New York, NY 10028-0506
Phone
(212) 734-6000
Fax
(212) 794-0299
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 093628 NY Primary

Addresses

Primary practice location

12 E 86TH St
New York, NY 10028-0506

Mailing address

12 E 86TH St
New York, NY 10028-0506
Phone (212) 734-6000

Other identifiers 1

IdentifierTypeStateIssuer
00152901MedicaidNY

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
I20100601000688 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517096506 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Georgetown University School of Medicine, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

920 Park Ave
New York, NY 10028-0208
Phone (212) 535-5400

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1770540569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280506",
            "telephone_number": "212-734-6000",
            "fax_number": "212-794-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 86TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280506",
            "telephone_number": "212-734-6000",
            "fax_number": "212-794-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENSEEL",
        "first_name": "ARTHUR",
        "middle_name": "CHARLES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "093628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00152901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.