Individual provider Active NPI

Elizabeth C. Weintraub, D.P.M.

  • Podiatrist
  • Yonkers, NY
National Provider Identifier
1851334684
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005195 Issued in NY
Practice address
970 N Broadway Ste 308a
Yonkers, NY 10701-1311
Phone
(914) 966-8818
Fax
(914) 966-8814
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005195 NY Primary

Addresses

Primary practice location

970 N Broadway Ste 308a
Yonkers, NY 10701-1311

Mailing address

P.O. Box 786
Greystone Station
Yonkers, NY 10703-0786
Phone (914) 966-8818

Other identifiers 1

IdentifierTypeStateIssuer
01819290MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040726001323 NY Practitioner - Podiatry 4082684311 Reassigns benefits to 1 organization
Practice locations: Yonkers, NY
O20110908001765 NY DME Supplier - Physician - Podiatry 1153591755 Practice locations: Yonkers, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

970 N Broadway
Suite 308a
Yonkers, NY 10701-1311
Phone (914) 966-8818

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue183
Removal or shaving of skin growth38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005195NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midcoast Eye Associates, P.a. PastSince Jun 24, 2009 Accepting new patients
Varughese Chacko Medical PC PastSince Mar 3, 2024 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1851334684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 786",
            "address_2": "GREYSTONE STATION",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107030786",
            "telephone_number": "914-966-8818",
            "fax_number": "914-966-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY STE 308A",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011311",
            "telephone_number": "914-966-8818",
            "fax_number": "914-966-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "ELIZABETH",
        "middle_name": "C.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-02-29",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01819290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.