Organization Active NPI

Philip J. Weintraub, MD

  • Specialist
  • New York, NY
National Provider Identifier
1790950475
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
149233 Issued in NY
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

Updated by the provider on Jul 16, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0129763Philip J Weintraub MD791 Park Ave, New York, NY 10021Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.