Active NPI
Heath Weissbrod
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1841647419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018914-1
- Practice address
- 50 Court St Ste 1002
Brooklyn, NY 11201-4821 - Phone
- (212) 695-5122
- NPI assigned
- May 24, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018914-1 | NY | Primary |
Addresses
Primary practice location
50 Court St Ste 1002
Brooklyn, NY 11201-4821
Mailing address
1530 NE 191St St Apt 225
North Miami Beach, FL 33179-4155
Phone (305) 282-0333
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 |
|---|---|---|---|
| 018914-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Family Medical Associates, P.C. | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Inwood, NY
- NPI 1720122716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1841647419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 NE 191ST ST APT 225",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331794155",
"telephone_number": "305-282-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 COURT ST STE 1002",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014821",
"telephone_number": "212-695-5122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISSBROD",
"first_name": "HEATH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018914-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.