Individual provider Active NPI

Robert Ira Weiner, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1841270444
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
136837 Issued in NY
Practice address
2352 Ralph Ave
Brooklyn, NY 11234-5515
Phone
(718) 251-0200
Fax
(718) 209-5697
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 136837 NY Primary

Addresses

Primary practice location

2352 Ralph Ave
Brooklyn, NY 11234-5515

Mailing address

2352 Ralph Ave
Brooklyn, NY 11234-5515
Phone (718) 251-0200

Other identifiers 1

IdentifierTypeStateIssuer
02213692MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080616000363 NY Practitioner - Internal Medicine 2961573142 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Weiner & Dr. Gallo Medical Practice PLLC CurrentSince Jan 1, 2008 Accepting new patients
Jeremiah M Gelles, MD PC Past Accepting new patients
United Medical Associates,PLLC Past Accepting new patients
Nuclear Cardiac and Medical Imaging Services, PC Past Accepting new patients

Locations

2352 Ralph Ave
Brooklyn, NY 11234
Phone (718) 238-1155

433 77th St
Brooklyn, NY 11209
Phone (718) 238-1155

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1841270444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-251-0200",
            "fax_number": "718-209-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-251-0200",
            "fax_number": "718-209-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "ROBERT",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "136837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02213692",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.