Active NPI
Matthew Brian Weiss, D.C
- Chiropractor
- Forest Hills, NY
National Provider Identifier
1811068364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007748
- Practice address
- 6915 Austin St
Forest Hills, NY 11375-4238 - Phone
- (718) 575-0300
- NPI assigned
- Nov 13, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007748 | NY | Primary |
Addresses
Primary practice location
6915 Austin St
Forest Hills, NY 11375-4238
Mailing address
13 Pony Cir
Roslyn Heights, NY 11577-1980
Phone (718) 575-0300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007748 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthmakers Medical Group, P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811068364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 PONY CIR",
"city": "ROSLYN HEIGHTS",
"state": "NY",
"postal_code": "115771980",
"telephone_number": "718-575-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 AUSTIN ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754238",
"telephone_number": "718-575-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "MATTHEW",
"middle_name": "BRIAN",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
- Russell Scott Weinstein, M.D.
- Jeffrey Weisbord, DDS
- Stephen S Weisglass, DMD
- Marcia G. Weisman, LCSW
- Mitchell Lee Weisman, MD
- Stephan Allen Weitz, BC-HIS
- Weitzman Oral Surgery and Implantology (Oral Surgery and Implant Center)
- Alexa Weitzman, L.AC.
- Craig Michael Weitzman, D.D.S.
- Howard C Weitzman, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.