Individual provider Active NPI

Eric Weinberg

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • New Hyde Park, NY
National Provider Identifier
1780702647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
236412 Issued in NY
Practice address
Lijmc-Dept of Emergency Medicine - Peds Em
270-05 76TH Avenue
New Hyde Park, NY 11040
Phone
(718) 470-7874
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 236412 NY Primary

Addresses

Primary practice location

Lijmc-Dept of Emergency Medicine - Peds Em
270-05 76TH Avenue
New Hyde Park, NY 11040

Mailing address

Lijmc-Dept of Emergency Medicine - Peds Em
270-05 76TH Avenue
New Hyde Park, NY 11040
Phone (718) 470-7874

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
I20080207000261 NY Practitioner - Emergency Medicine 2062595507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236412NYMDPediatric Emergency Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Jan 30, 2016 Accepting new patients
Weill Medical College of Cornell Pediatric Emergency Medicine CurrentSince Jan 30, 2016 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
PM Pediatrics of Bayside PLLC Pediatric Emergency Medicine Past Accepting new patients
PM Pediatrics PC Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients

Locations

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780702647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIJMC-DEPT OF EMERGENCY MEDICINE - PEDS EM",
            "address_2": "270-05 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIJMC-DEPT OF EMERGENCY MEDICINE - PEDS EM",
            "address_2": "270-05 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "236412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.