Individual provider Active NPI

Harold H. Weiss, M.D.

  • Dermatology Physician
  • Brooklyn, NY
National Provider Identifier
1841214939
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
135451 Issued in NY
Practice address
1195 East 10TH Street
Brooklyn, NY 11230-4705
Phone
(718) 692-2900
Fax
(718) 692-2926
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 135451 NY Primary

Addresses

Primary practice location

1195 East 10TH Street
Brooklyn, NY 11230-4705

Mailing address

1195 East 10TH Street
Brooklyn, NY 11230-4705
Phone (718) 692-2900

Other identifiers 1

IdentifierTypeStateIssuer
00756276MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20220404001268 NJ Practitioner - Dermatology 1850574153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144

1771 Madison Ave
Lakewood, NJ 08701-1251

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions113
Skin biopsy20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Steven M. Weissman, MD PLLC Dermatology CurrentSince Apr 1, 2022 Accepting new patients
Lakewood Resource and Referral Center Inc Current Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Sep 1, 2024 Accepting new patients

Locations

27 S Cooks Bridge Rd
Ste 2-14
Jackson, NJ 08527
Phone (732) 876-3376

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

Interoperability endpoints

  • Direct secure messaging: harold.weiss@chemed.eclinicaldirectplus.com

Organizations & group practices 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1841214939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 EAST 10TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304705",
            "telephone_number": "718-692-2900",
            "fax_number": "718-692-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 EAST 10TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304705",
            "telephone_number": "718-692-2900",
            "fax_number": "718-692-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "HAROLD",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "135451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00756276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.