Active NPI
Bruce Sheldon Weiss, DDS
- Periodontics
- Pomona, NY
National Provider Identifier
1780816330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 029687
- Practice address
- 971 Route 45
Suite 208
Pomona, NY 10970-3500 - Phone
- (845) 354-1503
- Fax
- (845) 354-1792
- NPI assigned
- Aug 17, 2009
- Last updated
- Aug 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 029687 | NY | Primary |
Addresses
Primary practice location
971 Route 45
Suite 208
Pomona, NY 10970-3500
Mailing address
971 Route 45
Suite 208
Pomona, NY 10970-3500
Phone (845) 354-1503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1780816330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 ROUTE 45",
"address_2": "SUITE 208",
"city": "POMONA",
"state": "NY",
"postal_code": "109703500",
"telephone_number": "845-354-1503",
"fax_number": "845-354-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 ROUTE 45",
"address_2": "SUITE 208",
"city": "POMONA",
"state": "NY",
"postal_code": "109703500",
"telephone_number": "845-354-1503",
"fax_number": "845-354-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "BRUCE",
"middle_name": "SHELDON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-17",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "029687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.