Individual provider Active NPI

Aaron Weisbrot, DPM

  • Podiatrist
  • Buffalo, NY
National Provider Identifier
1851451397
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003471-1 Issued in NY
Practice address
2084 Sheridan Dr
Buffalo, NY 14223-1400
Phone
(716) 877-3624
Fax
(716) 877-8409
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1643 FL
Podiatrist 213E00000X N003471-1 NY Primary

Addresses

Primary practice location

2084 Sheridan Dr
Buffalo, NY 14223-1400

Mailing address

2084 Sheridan Dr
Buffalo, NY 14223-1400
Phone (716) 877-3624

Other identifiers 1

IdentifierTypeStateIssuer
00833981 9MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL www.practicefusion.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000859 NY Practitioner - Podiatry 1951581180 Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1643FLMDPodiatrist
N003471-1NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Etengoff DDS PC Past Accepting new patients
County of Erie Comptrollers Office Past Accepting new patients

Organizations & group practices 2

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1851451397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2084 SHERIDAN DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231400",
            "telephone_number": "716-877-3624",
            "fax_number": "716-877-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2084 SHERIDAN DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231400",
            "telephone_number": "716-877-3624",
            "fax_number": "716-877-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROT",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1643",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003471-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00833981 9",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.practicefusion.com",
            "affiliation": "N",
            "address_1": "2084 Sheridan Dr",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142231400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.