Active NPI
Philip J. Weintraub, MD
- Specialist
- New York, NY
National Provider Identifier
1790950475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 149233
- Legal business name
- PHILIP J. WEINTRAUB, MD
- Practice address
- 791 Park Ave
New York, NY 10021-3551 - Phone
- (212) 737-7115
- Fax
- (212) 737-5489
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa M Devico
- Title
- Medical Biller
- Phone
- (212) 737-7115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 149233 | NY | Primary |
Addresses
Primary practice location
791 Park Ave
New York, NY 10021-3551
Mailing address
791 Park Ave
New York, NY 10021-3551
Phone (212) 737-7115
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0129763 | Philip J Weintraub MD | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/CEHGAD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1962626606
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1104093780
-
- Specialist
- New York, NY
- NPI 1629157813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1790950475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213551",
"telephone_number": "212-737-7115",
"fax_number": "212-737-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213551",
"telephone_number": "212-737-7115",
"fax_number": "212-737-5489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP J. WEINTRAUB, MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "DEVICO",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL BILLER",
"authorized_official_telephone_number": "212-737-7115"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "149233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.