Daniel Weisberg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

290732 Issued in NY

Practice address

64 Bleecker St # 151
New York, NY 10012-2410

Phone

(917) 810-3975

NPI assigned

Jun 6, 2014

Last updated

Mar 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NC, SC, ME, AL5 enrollments

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 5

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.weisberg@450368864321540.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/18871/brand/2/csg/1/fhir/r4

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.

• Galileo Medical Group Me, PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1154019313

  Internal Medicine, ME

  Medicare reassignment NPD
• Galileo Medical PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1659853687

  Internal Medicine

  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Orthopedic Department of Mount Sinai

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1124550280
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Geriatric Medicine Department of Mount Sinai

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1689947160
  Medicare reassignment NPD
• Galileo Medical Group NC PC

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1831660265
  Medicare reassignment
• Galileo Medical Group Al, P.C.

  • Family Medicine Physician
  • New York, NY
  • NPI 1548033715
  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1841603834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410",
            "telephone_number": "917-810-3975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-659-8551",
            "fax_number": "212-831-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 E 102nd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100295204",
            "country_code": "US",
            "telephone_number": "212-659-8551",
            "fax_number": "212-831-8116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278341969",
            "country_code": "US",
            "telephone_number": "252-507-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2019-02338",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "259406",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Weis, CPNP-PC, CPHON, RN
• Taylor Mai Weis
• Julia Mariana Weisbach
• Janet S. Weisberg-Samuels, PH.D.
• Allan Weisberg, DC
• Erica Weisberg, LMSW
• Holly Rachel Weisberg
• Ilan Seth Weisberg, M.D.
• Marian Weisberg, LCSW
• Shoshana Weisberg

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.